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胃癌腹腔化疗毒副反应的观察和处理 被引量:1

Toxic and side effect of intraperitoneal chemotherapy for gastric cancer
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摘要 目的 评价胃癌腹腔化疗的毒副反应,并探讨其处理方法。方法 将156例胃癌病人进行随机分组。分为术中即时低渗温热腹腔化疗联合术后早期腹腔化疗组(治疗组),单纯术中即时低渗温热腹腔化疗组(对照组1),未行腹腔化疗组(对照组2),共三组,观察化疗的安全性和毒副反应。结果 治疗组化学性腹膜炎、消化道反应、骨髓抑制和肝功能异常的发生率明显高于两个对照组。结论 应用术中即时,低渗温热腹腔化疗联合术后早期腹腔化疗时化学性腹膜炎的防治不容忽视。 AIM To evaluate the toxic and side effect of intraperitoneal chemotherapy (IPC) for gastric cancer. METHODS Patients with gastric cancer were randomized into 3 groups receiving intraoperative hypotonic chemo-hyperthermia(n = 49), or in addition,early postoperative IPC (n= 52), or no IPO(n = 55). All patients had routine postoperative transvenous chemotherapy. RESULTS The incidence rates of chemical peritonitis, gastrointestinal disturbance, bone marrow depression and hepatotoxicity in the second group were significantly higher than those in the other two groups( P 〈0.05). CONCLUSION Much attention should be paid to the toxic and side effect in patients receiving intra - as well as post-operative IPC.
出处 《中华腹部疾病杂志》 2005年第9期634-635,共2页 Chinese Journal of Celiopathy
关键词 胃癌 腹腔脱落细胞 腹腔化疗 毒副反应 化疗 Gastric cancer Intraperitoneal chemotherapy Toxic and side effect
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  • 1刘爱国,梅蔚德,许健健,喻平.缓释植入化疗药物的临床研究进展[J].癌症进展,2004,2(4):270-276. 被引量:81
  • 2于庆生,王汉明,卢业才,沈毅.丹参注射液联合5-氟脲嘧啶腹腔化疗抗鼠胃肿瘤的实验研究[J].安徽中医学院学报,2007,26(5):37-41. 被引量:6
  • 3Sugabker PH, Yu W, Yonemura Y. Gastrectomy, peritonectomy, andperioperative intraperitoneal chemotherapy: the evolution of treatmentstrategies for advanced gastric cancer [J] . Semin surg Oncol, 2003,21 (4) : 233-248.
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  • 5Takahashi T, Hagiwara A, Ito T. Intraabdominal administration ofMMC adsorbed on activated carbon for management of carcinomatousperitonitis [J] . Gan To Kagaku Ryoho, 1984, 11 (8) : 1550-1556.
  • 6Yu Z, Ohtaki Y, Kai K, et al. Critical roles of platelets in lipopolysac-charide -induced lethality: effects of glycyrrhizin and possible strategyfor acute respiratory distress syndrome [ J] . Int immunopharmacol,2005, 5 ⑶:571-580.
  • 7Bao JF, Wu YJ, Yang YJ, et al. Effect of sodium glycyrrhetinate onchemical peritonitis in rats [J] . Acta Pharmacologica Sinica, 1997,18 (3) : 277-280.
  • 8Takei H, Baba Y, Hisatsune A, et al. Glycyrrhizin inhibits interleukin-8 production and nuclear factor -kappaB activity in lung epithelialcells, but not through glucocorticoid receptors [J] . J pharmacol Sci,2008, 106 (3) : 460-468.
  • 9Sugabker PH, Yu W, Yonemura Y. Gastrectomy, peritonectomy, andperioperative intraperitoneal chemotherapy: the evolution of treatmentstrategies for advanced gastric cancer [J] . Semin surg Oncol, 2003,21 (4) : 233-248.
  • 10刘青,李忠友.腹腔化疗引起类似急性腹膜炎表现的原因分析[J].重庆医学,2001,30(3):235-236. 被引量:3

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