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1992年3月~1993年7月作者以个去甲氧基柔红霉素(IDA)为主组成联合化疗方案治疗各种初治和复治的急性白血病共36例,其中急性淋巴细胞白血病(ALL)15例,急性非淋巴细胞白血病(ANLL)21例。ALL组采用VICP方案(其中IDA10~15mg/d,静脉注射,第1~3天和第15~17天);ANLL组采用IA方案(其中IDA10~15mg/d,静脉注射,第1~3天)。结果表明IDA安全、有效。初治ALL的完全缓解(CR)率为7/10(70%),复治ALL的CR率为1/5(20%);初治ANLL的CR率为6/13例(46%),复治ANLL的CR率为4/8例(50%)。IDA联合化疗的副作用与柔红霉素相仿,仍有一定的心脏毒性,在老年患者中应谨慎使用。
From March 1992 to July 1993, the authors treated a total of 36 newly treated and retreated acute leukemias with a combination of demethoxydromatomycin (IDA)-based chemotherapy regimen, including acute lymphoblastic leukemia ( Fifteen patients (ALL) and 21 patients with acute nonlymphocytic leukemia (ANLL). In the ALL group, the VICP regimen was used (IDA 10-15 mg/d, intravenous injection, 1st to 3rd days, and 15th to 17th days); the ANLL group was treated with an IA regimen (where IDA was 10-15 mg/d, intravenous injection, 1st to 3rd days) ). The results show that IDA is safe and effective. The complete remission (CR) rate of newly diagnosed ALL was 7/10 (70%), the CR rate of relapsed ALL was 1/5 (20%), and the CR rate of initial treatment of ANLL was 6/13 (46%). The CR rate for retreatment of ANLL was 4/8 (50%). The side effects of IDA combined with chemotherapy are similar to daunorubicin, which still has some cardiotoxicity and should be used with caution in elderly patients.