氟达拉滨(Flu)是人工合成的嘌呤类似物,作为一种抗代谢性细胞毒化疗药物已被广泛应用于慢性B淋巴细胞增殖性疾病(B-CLPD)如慢性淋巴细胞白血病(CLL)、非霍奇金淋巴瘤(NHL)等的治疗,取得了良好效果.Flu在临床应用中的主要不良反应为剂量依赖性骨髓抑制及继发感染,非血液学不良反应较少见且轻微,患者多可耐受.文章就Flu治疗B-CLPD的常见不良反应作一综述.
Fludarabine (Flu) is a synthetic purine analog,which has been widely used in the treatment of B-cell chronic lymphoproliferative disorders (B-CLPD) such as chronic lymphocytic leukemia (CLL),nonHodgkin lymphoma (NHL) as an anti-metabolic cytotoxic chemotherapeutic drug and achieved good effect.Main adverse reactions in clinical application of Flu are dose-dependent bone marrow suppression and secondary infection.Non-hematologic adverse reactions are so rare and mild that most patients can tolerate.