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目的:观察长春瑞宾加顺铂治疗晚期非小细胞肺癌的疗效及毒性。方法:33例晚期非小细胞肺癌病人,男性26例,女性7例,年龄54±s4a。用长春瑞宾加顺铂联合治疗,3wk为一个疗程,每个病人平均治疗3.0±1.0个疗程。结果:完全缓解(CR)1例,部分缓解(PR)16例,总有效率(CR+PR)52%,完全缓解率3%。全组出现血液系统毒性III度52例次,IV度11例次;神经系统毒性I度7例次,未见II度以上毒性;出现ALT轻度升高者4例次,BUN轻度升高者1例次。副作用均能耐受。结论:长春瑞宾加顺铂联合方案治疗非小细胞肺癌疗效满意。
Objective: To observe the efficacy and toxicity of vinorelbine plus cisplatin in the treatment of advanced non-small cell lung cancer. Methods: Thirty-three patients with advanced non-small-cell lung cancer included 26 males and 7 females, age 54±s4a. With the combination of vinorelbine plus cisplatin, 3wk was a course of treatment, and each patient received an average of 3.0±1.0 courses of treatment. Results: 1 case of complete remission (CR), 16 cases of partial remission (PR), total effective rate (CR+PR) of 52%, complete remission rate of 3%. There were 52 cases of grade III hemotoxin in the whole group, 11 cases of IV degree, 7 cases of degree of neurotoxicity, no grade II or more toxicity, and 4 cases of mild elevation of ALT. BUN increased slightly. 1 case times. Side effects can be tolerated. Conclusion: The combination of vinorelbine plus cisplatin in the treatment of non-small cell lung cancer is satisfactory.