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21例晚期肺癌病人接受紫杉醇治疗。临床分期ⅢB10例,Ⅳ11例。化疗方案采用单药紫杉醇组9例,紫杉醇联合应用-DDP-VP16组12例,总计36个疗程。化疗后达CR1例,PR4例,MR4例,有效率23.8%。紫杉醇的不良反应主要为粒细胞减少20例次,其中Ⅲ度以上9例次,多为联合用药组,一般发生于用药后d7~8,d10达最低值,21d均恢复正常。用G-CSF能减轻粒细胞下降程度。经预防应用抗过敏药物后,无1例发生严重高敏反应。脱发见于每例病人,肌肉关节痛27例次(75%).本药适用于非小细胞肺癌及复发性小细胞肺癌,联合应用其他有效的化疗药物有可能进一步改善反应率
Twenty-one patients with advanced lung cancer received paclitaxel. Clinical stage Ⅲ B10 cases, Ⅳ 11 cases. Chemotherapy regimen used single-agent paclitaxel group 9 cases, paclitaxel combined -DDP-VP16 group 12 cases, a total of 36 courses. Up to CR1 after chemotherapy, PR4 cases, MR4 cases, the effective rate of 23.8%. Adverse reactions of paclitaxel were mainly 20 cases of neutropenia, of which more than Ⅲ degrees and 9 cases were mostly combination therapy group, which usually occurred after treatment d7 ~ 8, d10 reached the lowest value, returned to normal after 21 days. G-CSF can reduce the degree of neutropenia. After preventing the application of anti-allergic drugs, no case of severe hypersensitivity. Hair loss seen in each patient, muscle and joint pain in 27 cases (75%). The drug is suitable for non-small cell lung cancer and recurrent small cell lung cancer, combined with other effective chemotherapy drugs may further improve the response rate