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1. 吉林大学第一医院药学部
2. 吉林大学第二医院肿瘤血液科
纸质出版日期:2022,
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王相峰, 刘雨晴, 高欢, 等. 奥沙利铂致间质性肺疾病的文献病例分析[J]. 中国医院用药评价与分析, 2022,22(10):1268-1272.
WANG Xiangfeng, LIU Yuqing, GAO Huan, et al. Case Analysis on Interstitial Lung Disease Induced by Oxaliplatin[J]. 2022,22(10):1268-1272.
王相峰, 刘雨晴, 高欢, 等. 奥沙利铂致间质性肺疾病的文献病例分析[J]. 中国医院用药评价与分析, 2022,22(10):1268-1272. DOI: 10.14009/j.issn.1672-2124.2022.10.025.
WANG Xiangfeng, LIU Yuqing, GAO Huan, et al. Case Analysis on Interstitial Lung Disease Induced by Oxaliplatin[J]. 2022,22(10):1268-1272. DOI: 10.14009/j.issn.1672-2124.2022.10.025.
目的:探讨奥沙利铂致间质性肺疾病的临床特点、治疗方案和可能机制。方法:检索MEDLINE、PubMed、Web of Science、SpringerLink、Ovid、Embase、Wiley Oline Library、中国知网、万方数据库和维普数据库等国内外数据库,收集关于奥沙利铂致间质性肺疾病的文献报道,检索时间为建库至2022年4月。提取所纳入文献中的患者基本信息、用药方案、检查手段、处理和转归等信息,进行描述性分析。结果:共检索到奥沙利铂相关间质性肺疾病患者35例,来自27篇病例报告类文献;其中26例男性患者,9例女性患者;年龄30~79岁。35例患者中,31例接受皮质类固醇治疗,其中16例好转,15例死亡(包括男性患者14例)。药品不良反应关联性评价为“很可能”(24例)和“可能”(11例)。19例患者经停药、换药和类固醇激素治疗后,病情均得到改善,在观察期和随访期内无再次发作。结论:奥沙利铂致间质性肺疾病多发生于老年男性患者中,且男性患者死亡率较高;多发生于联合用药8个周期,奥沙利铂累积剂量达716.1 mg/m~2时。对使用奥沙利铂的患者,应加强肺功能和影像学/放射学检查,以便尽早发现药品不良反应,及时调整用药方案。
OBJECTIVE: To probe into the clinical characteristics
therapeutic regimens and possible mechanism of interstitial lung disease induced by oxaliplatin. METHODS: MEDLINE
PubMed
Web of Science
SpringerLink
Ovid
Embase
Wiley Oline Library
CNKI
Wanfang data and VIP database were retrieved to collect literature of interstitial lung disease induced by oxaliplatin
the retrieval time was from the establishment of the database to Apr. 2022. Patients’ general information
medication regimens
examination means
treatment and outcomes of the involved studies were extracted and analyzed descriptively. RESULTS: A total of 35 patients with interstitial lung disease induced by oxaliplatin were retrieved from 27 case reports; of which 26 were male and 9 were female; aged 30-79 years. Among the 35 patients
31 were treated with corticosteroids
of which 16 were improved and 15 were dead(including 14 male patients). The association of adverse drug reactions was evaluated as “very likely”(24 patients) and “possible”(11 patients). 19 patients were improved after drug withdrawal
dressing change and steroid hormone treatment
and no reoccurrence was observed during observation and follow-up periods. CONCLUSIONS: Interstitial lung disease induced by oxaliplatin occurs mostly in elderly male patients and has a higher mortality rate in male patients; which mostly occurs at a cumulative dose of oxaliplatin of 716.1 mg/m~2 over 8 cycles of drug combination. The lung function and imaging/radiology examination should be strengthened in patients treated with oxaliplatin
so as to detect adverse drug reactions as soon as possible and adjust the medication regimen in time.
奥沙利铂FOLFOX方案间质性肺疾病肺纤维化间质性肺炎
OxaliplatinFOLFOX regimenInterstitial lung diseasePulmonary fibrosisInterstitial pneumonia
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