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国产两性霉素B抢先治疗血液病患者肺部侵袭性真菌感染的疗效与安全性分析
引用本文:柴俊月,魏娜,崔婷婷,许兰平,黄晓军.国产两性霉素B抢先治疗血液病患者肺部侵袭性真菌感染的疗效与安全性分析[J].中国真菌学杂志,2010,5(3):144-147.
作者姓名:柴俊月  魏娜  崔婷婷  许兰平  黄晓军
作者单位:1. 北京市第六医院血液科,北京,100007
2. 北京大学人民医院血液病研究所,北京,100044
基金项目:公益性行业科研专项项目 
摘    要:目的观察国产两性霉素B抢先治疗血液病患者侵袭性肺部真菌感染(以下简称IFI)的疗效与不良反应。方法回顾性分析我院2004年12月~2008年12月间,45例免疫功能低下IFI患者接受国产两性霉素B治疗的临床资料。结果 45例患者均应用两性霉素B治疗两周以上,最长应用时间为14周,中位数6周。总有效率为86.7%,不良反应主要有低钾血症、发热、转氨酶升高、肾功损害、胃肠道反应,根据WHO药物毒性分级标准均为I~II级毒性。结论国产两性霉素B对于血液病患者IFI临床诊断的抢先治疗疗效肯定,不良反应可耐受。

关 键 词:两性霉素B  血液病  侵袭性真菌感染  抢先治疗

Efficacy and safety of domestic amphotericin B in preemptive therapy of pulmonary invasive fungal infection in hematological disorder patients
CHAI Jun-yue,WEI Na,CUI Ting-ting,XU Lan-ping,HUANG Xiao-jun.Efficacy and safety of domestic amphotericin B in preemptive therapy of pulmonary invasive fungal infection in hematological disorder patients[J].Chinese JOurnal of Mycology,2010,5(3):144-147.
Authors:CHAI Jun-yue  WEI Na  CUI Ting-ting  XU Lan-ping  HUANG Xiao-jun
Institution:CHAI Jun-yue1,WEI Na1,CUI Ting-ting1,XU Lan-ping2,HUANG Xiao-jun2 (1. Beijing No. 6 hospital,Beijing 100007,China,2. People's Hospital & Institute of Hematology,Peking Univercity,Beijing 100044,China)
Abstract:Objective To observe the therapeutic efficacy and adverse reactions of domestic amphotericin B in the treatment of invasive fungal infection (IFI) in hematological disorder patients. Methods A total of 45 cases of immunodepressive IFI patients receive domestic amphotericin B treatment from December 2004 to December 2008 in our hospital were retrospectively analyzed. Result All the cases patients received amphotericin B therapy for more than 2 weeks,in which the longest was 14 weeks,with 6 weeks as median. T...
Keywords:amphotericin B  hematological disorder  invasive fungal infection  preemptive therapy  
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