Supportive care of the marrow transplant recipient: the Seattle Experience.

K M Sullivan, J Meyers, F B Petersen, R Bowden, G C Counts, M Banaji, M Schubert, J Clark, R A Clift, F R Appelbaum
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引用次数: 5

Abstract

It is now almost 2 decades after the first successful human marrow transplants from HLA-identical siblings for the treatment of life-threatening hematologic diseases. Results have improved, especially for patients transplanted earlier in the course of disease. However, major problems remain in supporting patients through the transplant. More effective and less toxic conditioning regimens are needed. Acceleration of hematopoietic and immunologic reconstitution by use of various cytokines holds promise for decreasing infectious morbidity and mortality. Improved regimens to control acute and chronic GVHD and prevent opportunistic infections will play a major role in the advancement of supportive care of the marrow transplant recipient.

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骨髓移植受者的支持性护理:西雅图经验。
距人类首次成功从hla相同的兄弟姐妹身上移植骨髓治疗危及生命的血液病已经近20年了。结果有所改善,特别是在病程早期移植的患者。然而,主要的问题仍然是支持患者通过移植。我们需要更有效、毒性更小的调理方案。通过使用各种细胞因子加速造血和免疫重建有望降低传染性发病率和死亡率。改善方案以控制急性和慢性GVHD和预防机会性感染将在推进骨髓移植受者的支持性护理中发挥重要作用。
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