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目的 探讨三氧化二砷(As2O3)与联合化疗序贯治疗急性早幼粒细胞白血病(APL)的疗效与副作用。方法 首先对3 例初治病人与4例复发病人分别给予全反式维甲酸(ATRA)和(As2O3 )以诱导缓解,完全缓解(CR)后用DA、HA方案与As2O3 序贯治序。结果 7 例病人均获CR,目前仍保持CR状态,持续CR的时间已10个~44个月。结论 As2O3 与联合化疗序贯治疗APL具有疗效好,毒副作用轻,易于长期维持治疗等优点。
Objective To investigate the efficacy and side effects of arsenic trioxide (As2O3) and sequential chemotherapy in the treatment of acute promyelocytic leukemia (APL). Methods First of all, 3 cases of untreated patients and 4 cases of relapsed patients were treated with all-trans retinoic acid (ATRA) and (As2O3) to induce remission. After complete remission (CR), DA, HA regimen and As2O3 sequential treatment were used. Results CR was obtained in all 7 patients and CR status was maintained. The duration of CR was 10 to 44 months. Conclusions As2O3 combined with sequential chemotherapy has a good curative effect on APL, with low toxic and side effects, and it is easy to maintain long-term treatment.