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对3组共20例恶性淋巴瘤病人进行自身外周血干细胞回输,采用三种不同的动员剂和治疗方案:1.皮质激素动员;口服强的松或静注地塞米松可使收集浓聚的白细胞明显增多,为给药前自身血的4.bl倍和7.24倍。2.硫酸葡聚糖(DS)动员:10%葡萄糖液9~10ml+N,S.100ml静滴,在外周血干细胞高峰期进行分离,其WBC,MNC和CFU-GM分别为使用前的2.04倍、4.14倍和2.04倍。3.G-CSF或CTX+G-CSF动员:平均分离2.6次总数可获得WBC15.47×l0 ̄9、MNC13.89×l0 ̄9、CFU-GM25.4×l0 ̄5、13.24×l0 ̄7。临床应用:1.激素动员组化疗采用CTX+VCR,分别输入2,11×10 ̄9和2.40×l0 ̄9,其中CFU-C产率为0.72×l0 ̄5和0.33×l0 ̄5,可以加速造血恢复。2.DS动员组化疗采用CHVP方案,输入自身干细胞MNC5.5×l0 ̄9、CFU-GM1.54×l0 ̄5。输后14天白细胞(WBC)恢复至4×l0 ̄9/L以上,PT在输后16天恢复至照前水平。3.G-CSF或CTX+G-CSF动员组化疗采用CHVP方案或超大剂量化疗(BCNU+VP-?
A total of 20 patients with malignant lymphoma in 3 groups were treated with their own peripheral blood stem cells and three different mobilization agents and treatment options were used: 1. Corticosteroids mobilization; Oral prednisone or intravenous dexamethasone can significantly increase the collection of concentrated white blood cells, pre-dose blood 4. Bl times and 7.24 times. 2. Dextran sulfate (DS) mobilization: 10% glucose solution 9 ~ 10ml + N, S. 100 ml of intravenous instillation was performed during the peak period of peripheral blood stem cells. The WBC, MNC and CFU-GM were 2.04, 4.14 and 2.04 times of that before use, respectively. 3. G-CSF or CTX+G-CSF mobilization: The average number of 2.6 isolates is WBC15.47×10-9, MNC13.89×10-9, CFU-GM25.4×10-5, and 13.24×10. 7. Clinical application: 1. The hormone mobilization group received CTX+VCR chemotherapy with 2,11×10 ̄9 and 2.40×10 ̄9, respectively. The CFU-C yield was 0.72×l0 ̄5 and 0.33×l0 ̄5, which accelerated Hematopoietic recovery. 2. In the DS mobilization group, the CHVP protocol was used for chemotherapy and the input stem cells MNC5.5×10-9 and CFU-GM1.54×10-5. White blood cells (WBC) recovered to 4×10 9/L or more after 14 days of transfusion, and PT returned to pre-illumination levels 16 days after transfusion. 3. G-CSF or CTX+G-CSF mobilization chemotherapy with CHVP regimen or large dose chemotherapy (BCNU+VP-?