急非淋白血病强化治疗过程中的骨髓原幼细胞反跳现象

Rebound Phenomenon of Marrow Blast Cells in Patients with AcuteNonlymphocytic Leukemia During Intensive Chemotherapy

  • 摘要: 报告44例急非淋白血病取得首次缓解后在进行以中剂量Ara-c和CTX为主的早期强化治疗过程中有10例出现骨髓原幼细胞升高反跳现象,原幼细胞升高范围从7~38%,平均持续了17.8天后都恢复到5%以下。并对这些患者在该强化治疗疗程前进行了血清铁蛋白,GM-CFU和L-CFU监测,借此帮助对这一现象预后意义的判断。

     

    Abstract: patients with acute nonlymphocytic leukemia were treated with intermediate dosesof Ara-c and CTX for intensive chemotherapy after lst complete remission. A rebound phenomenonof marrow blast cells was seen in 10 patients during therapy.The range of blast cells was 7-38%, and it returned to≤5% after a mean duration of 17 days. Serum ferritin, GM-CFUand L-CFU were assayed before intensive chemotherapy in these 10 patients,and the prognosticsignificance of this rebound phenomenon was discussed.

     

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