• 四川大學(xué)華西醫(yī)院血液科(四川成都 610041);

間質(zhì)性肺炎(IP)是造血干細(xì)胞移植后嚴(yán)重的并發(fā)癥之一,臨床表現(xiàn)缺乏特異性,病情重,死亡率高,直接影響造血干細(xì)胞移植患者的移植后存活率。現(xiàn)對(duì)四川大學(xué)華西醫(yī)院1999~2005年期間110例造血干細(xì)胞移植患者中發(fā)生IP的18例患者臨床資料進(jìn)行回顧性分析,探討其發(fā)病相關(guān)危險(xiǎn)因素及防治措施

引用本文: 文欽,賈永前,何川,陳心傳,李建軍,劉霆. 造血干細(xì)胞移植后間質(zhì)性肺炎18例分析. 中國(guó)呼吸與危重監(jiān)護(hù)雜志, 2008, 08(4): 301-303. doi: 復(fù)制

1. 鄧家棟,楊崇禮,楊天楹,主編.鄧家棟臨床血液學(xué).上海:上??茖W(xué)技術(shù)出版社,2001: 1655- 1656.
2. Zaia JA. Prevention and management of CMV-related problems after hematopoietic stem cell transplantation. Bone Marrow Transplant, 2002, 29: 633-638.
3. Rowlings PA, Przepiorka D, Klein JP, et al. IBMTR severity index for grading acute graft-versus-host disease: retrospective comparison with Glucksberg grade. Br J Haematol, 1997, 97: 855-864.
4. Khurshid I, Anderson LC. Non-infectious pulmonary complications after bone marrow transplantation. Postgrad Med, 2002, 78: 257-262.
5. Afessa B, Litzow MR, Tefferi A. Bronchiolitis obliterans and other late onset non-infectious pulmonary complications in hematopoietic stem cell transplantation. Bone Marrow Transplant, 2001, 28: 425-434.
6. Bourke SJ. Interstitial lung disease: Progress and Problems. Postgrad Med J, 2006, 82: 494- 499.
7. Krause H, Hebart H, Jahn G,et al. Screening for CMV-specific T cell proliferation to identify patients at risk of developing late onset CMV disease. Bone Marrow Transplant, 1997,19: 1111-1116.
8. 黃曉軍,陸道培.骨髓移植后CMV間質(zhì)性肺炎.國(guó)外醫(yī)學(xué)輸血及血液學(xué)分冊(cè),1996,19:282-284.
9. Meyers JD, Flournoy N, Thomas ED. Risk factors for cytomegalovirus infection after human marrow transplantation.J Infect Dis,1986,153: 478-488.
10. Quabeck K. The lung as a critical organ in marrow transplantation. Bone Marrow Transplant, 1994, 14 (Suppl 4): S19-S28.
11. King TE Jr. Clinical advances in the diagnosis and therapy of the interstitial lung diseases. Am J Respir Crit Care Med, 2005, 172: 268-279.
12. Ljungman P, De Bock R, Cordonnier C, et al. Practices for cytomegalovirus diagnosis, prophylaxis and treatment in allogeneic bone marrow transplant recipients: a report from the Working Party for Infectious Diseases of the EBMT. Bone Marrow Transplant, 1993, 12: 399-403.
13. 丁昊煒, 任漢云, 郭乃欖, 等. 造血干細(xì)胞移植患者巨細(xì)胞病毒感染危險(xiǎn)因素和療效分析. 北京大學(xué)學(xué)報(bào)(醫(yī)學(xué)版), 2003, 35: 596-599.
  1. 1. 鄧家棟,楊崇禮,楊天楹,主編.鄧家棟臨床血液學(xué).上海:上??茖W(xué)技術(shù)出版社,2001: 1655- 1656.
  2. 2. Zaia JA. Prevention and management of CMV-related problems after hematopoietic stem cell transplantation. Bone Marrow Transplant, 2002, 29: 633-638.
  3. 3. Rowlings PA, Przepiorka D, Klein JP, et al. IBMTR severity index for grading acute graft-versus-host disease: retrospective comparison with Glucksberg grade. Br J Haematol, 1997, 97: 855-864.
  4. 4. Khurshid I, Anderson LC. Non-infectious pulmonary complications after bone marrow transplantation. Postgrad Med, 2002, 78: 257-262.
  5. 5. Afessa B, Litzow MR, Tefferi A. Bronchiolitis obliterans and other late onset non-infectious pulmonary complications in hematopoietic stem cell transplantation. Bone Marrow Transplant, 2001, 28: 425-434.
  6. 6. Bourke SJ. Interstitial lung disease: Progress and Problems. Postgrad Med J, 2006, 82: 494- 499.
  7. 7. Krause H, Hebart H, Jahn G,et al. Screening for CMV-specific T cell proliferation to identify patients at risk of developing late onset CMV disease. Bone Marrow Transplant, 1997,19: 1111-1116.
  8. 8. 黃曉軍,陸道培.骨髓移植后CMV間質(zhì)性肺炎.國(guó)外醫(yī)學(xué)輸血及血液學(xué)分冊(cè),1996,19:282-284.
  9. 9. Meyers JD, Flournoy N, Thomas ED. Risk factors for cytomegalovirus infection after human marrow transplantation.J Infect Dis,1986,153: 478-488.
  10. 10. Quabeck K. The lung as a critical organ in marrow transplantation. Bone Marrow Transplant, 1994, 14 (Suppl 4): S19-S28.
  11. 11. King TE Jr. Clinical advances in the diagnosis and therapy of the interstitial lung diseases. Am J Respir Crit Care Med, 2005, 172: 268-279.
  12. 12. Ljungman P, De Bock R, Cordonnier C, et al. Practices for cytomegalovirus diagnosis, prophylaxis and treatment in allogeneic bone marrow transplant recipients: a report from the Working Party for Infectious Diseases of the EBMT. Bone Marrow Transplant, 1993, 12: 399-403.
  13. 13. 丁昊煒, 任漢云, 郭乃欖, 等. 造血干細(xì)胞移植患者巨細(xì)胞病毒感染危險(xiǎn)因素和療效分析. 北京大學(xué)學(xué)報(bào)(醫(yī)學(xué)版), 2003, 35: 596-599.