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我如何治疗血友病合并抑制物

How I treat hemophilia with inhibitors
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摘要 近年来,随着国产血浆源性凝血因子Ⅷ/Ⅸ(FⅧ/FⅨ)产品和国外基因重组FⅧ/FⅨ产品的广泛使用,血友病合并抑制物患者有增多的趋势.为进一步提高我们对FⅧ/FⅨ抑制物的认识,我们于2018年制订了FⅧ/FⅨ抑制物诊断与治疗中国指南[1].限于篇幅,关于如何进行诱导免疫耐受(ITI),该指南没有完全展开,国内同道在ITI的剂量和时机选择等方面也有诸多疑惑.另外,当时由于FⅨa/FX双特异性单克隆抗体(艾美赛珠单抗)尚未在国内上市,完全没有涉及.在本文中,笔者结合国外相关研究进展对治疗血友病合并抑制物的经验进行介绍,供同道参考.
作者 杨仁池 Yang Renchi(Institute of Hematology and Blood Diseases Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,National Clinical Research Center for Blood Diseases,Tianjin 300020,China)
出处 《中华血液学杂志》 CAS CSCD 北大核心 2019年第10期801-803,共3页 Chinese Journal of Hematology
基金 "十三五"国家重点研发计划精准医学研究重点专项(2016YFC0901503)。
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