摘要
目的观察急性心肌梗死患者静脉注射粒细胞集落刺激因子(G-CSF)动员自体骨髓干细胞的可行性和安全性。方法自2008年1月至2009年6月收治的22例急性心肌梗死患者,入院后在常规急性心肌梗死治疗(药物治疗和介入治疗)的基础上给予静脉注射粒细胞集落刺激因子(G-CSF,商品名:惠尔血)10μg/(kg·day),连续5天。观察外周血干细胞动员过程中的不良反应。结果急性心肌梗死患者在外周血干细胞动员期间不良反应发生率为45.5%,其中低热为18.2%,骨痛为13.6%,高热为0.09%,1例因支架内血栓形成退出试验。结论急性心肌梗死患者静脉注射GCS-F动员自体骨髓干细胞是安全的。
Objective To evaluate the safety of autologous peripheral blood stem cells mobilization by intravenous injection of granulocyte colony stimulating factor (G-CSF) in patients with acute myocardial infarction (AMI). Methods Twenty-two patients with AMI were received intravenous injection of G-CSF (10 g/kg/day) after PCI treatment for 5 days. During the period of treatment,attention was paid to the following side effects:bone pain,fever,gastrointestinal effects (nausea,vomit,coprostatis),deterioration of angina or heart failure, reinfarction and restenosis in stent). Results The incidence of complications during G-CSF treatment was 45.5% , including that of bone pain being of 13.6% , fever being of 27.2% , re-infarction being of 0.05. Conclusions In patients with AMI, intravenous injection of G-CSF to mobilize autologous peripheral blood stem cells is feasible and safe.
出处
《中国分子心脏病学杂志》
CAS
2009年第6期357-359,共3页
Molecular Cardiology of China
基金
上海市科委国际合作课题(课题号:2007-24)