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目的:观察抗肿瘤新药泰素(紫杉醇,Paclitaxel)加顺铂治疗晚期非小细胞肺癌(NSCLC)的疗效及毒性反应。方法:泰素180mg/m3静滴第1天,用泰素前给予抗过敏处理。顺铂25mg/m2静滴第2-4天.每三周重复,每例均完成二周期化疗。结果:14例晚期NSCLC病人中,部分缓解(PR)4例,稳定(NC)7例,进展(PD)3例。总有效率28.6%。初治有效率40%(2/5),复治有效率22%(2/9)。主要副作用是骨髓抑制,神径肌肉毒性也相当常见。结论:以泰素为主的联合方案治疗晚期NSCLC能取得一定疗效,对初治者有较好的缓解率。毒副作用可以耐受。
OBJECTIVE: To observe the efficacy and toxicity of antitumor drug paclitaxel plus cisplatin in the treatment of advanced non-small cell lung cancer (NSCLC). Method: Paclitaxel 180 mg/m3 intravenous infusion on the first day, anti-allergic treatment was given before administration of Taxol. Cisplatin 25mg/m2 intravenous infusion on the second day of 2-4 days. Repeated every three weeks, each case completed two cycles of chemotherapy. Results: Of the 14 patients with advanced NSCLC, 4 were partial remission (PR), 7 were stable (NC), and 3 were progressive (PD). The total efficiency is 28.6%. The initial treatment efficiency is 40% (2/5), and the retreatment efficiency is 22% (2/9). The main side effect is myelosuppression. Diabetic muscle toxicity is also quite common. Conclusion: The combination of paclitaxel-based regimen for the treatment of advanced NSCLC can achieve a certain effect, and has a better remission rate for the initial treatment. The toxic side effects can be tolerated.