Phu*o*ng Lie^n va` BAC SI VN

["DiemQuynh Nguyen" <diemquynhng@hotmail.com>]

 Cha`o ca'c ba'c:
 To^i vu*`a ddu*o*.c ba'c TV Hai gu*?i the^m cho nhu*~ng ta`i lie^.u 
nha` thu*o*ng cu?a cha'u Phu*o*ng Lie^n.
 Ki'nh nho*` ca'c ba'c va` ca'c ddo^`ng nghie^.p xem giu'p. DDa(.c 
bie^.t ca'c ba'c ddang theo ro~i be^.nh cu?a cha'u nhu* ba'c Hai Tri va` 
Ba'c Vu huu Vinh cu`ng ca'c ddo^`ng nghie^.p Nha^.t.
 Mong y' kie^'n cu?a ca'c ba'c .
 Ti`nh tha^n
 DQ
_________________________________
 
>DISEASE'S PROGRESS AND PROBLEMS
>
>
>* One (01) week after admission the general status of the patient had
>good progress:
>* Temperature normalized
>* The patient was doing well
>* The liver and renal function normal
>
>* Number of blast in blood decreased to 0
>
>* WBC was low and varied (from 0.8 x 109 to 2.7 x 109/litter), which 
was
>corrected with GM-CSF (subcutaneously) and transfusions.
>
>* Four (04) weeks after the admission, the bone marrow still had 5% of
>lymphoblast.  Therefore the induction treatment was prolonged with two
>(02) weeks.
>
>* After induction therapy the patient's status is good:  No fever,
>no-bleeding and no-sings of infection.  Spleen and lymphatic noodles 
are
>not palpable.
>
>  Blood examination (on June 20):
>
>Hb  100g/litter    WBC  2.3 x 1E+09/litter  (Granulocyt 0.54
>x1E+09/litter)
>
>PLT  250 x 1E+09/litter
>
>
>PROBLEMS:
>
>1. No radiation therapy was conducted
>2. No intracranial radiation was conducted
>3. The induction therapy is susceptibly not sufficient, since the
>patient had some high risk factors.
>
>
>
>* The patient is advised to be sent to better qualified hematological
>center to continue the treatment.
>
>-----------------------------------------------------------------------
>
>
>
>SCHEDULE OF TREATMENT
>
>
>Patient name:   LE PHUONG LIEN 
>Date of birth:  April 14th 1986
>
>
>
>May 4         10 11        16   18             25        June 1
>---*------------*------------*----*--------------*----------*
>    |------------------------------>              |--------->
>     Prednisolon 50 mg daily {GM-CSF 2 micro g/kg daily)
>
> A(TV)         A                              A 
>
>V(iV)  Blood   V   Blood                       V 
>
>      MTX(iT)       MTX(iT)                         MTX(iT)
>
>
>
>
>
>
>
>
>June 1            8              15  17         22             29
>--*--------------*--------------*----*----------*--------------*
>-->----------------------------->   
>  A             A V              V   Blood        L-ASPARAGINASA
> MTX(iT)                                          
>====================================================================
>Ba'c DQ,
> Xin gu+?i ba'c hai ta`i lie^.u sau dde^? ca'c ba'c nghie^n cu+'u su+? 
du.ng......

>Qua tie^'p xu'c no'i chuye^.n vo+'i chi. Mai to^i ddu+o+.c bie^'t y'
>kie^'n ba'c si~ nhu+ sau:
>- Tru+o+`ng ho+.p na`y gio^'ng he^.t cha'u Ngo.c Anh(con Tru+o+ng Gia
>Bi`nh-Vo~ Ha.nh Phu'c) dde^`u 11 tuo^?i ba('t dda^`u bi. be^.nh .
>- Co' the^? kho^ng ca^`n ca^'y tuy? nhu+ng ddie^`u kie^.n thuo^'c 
chu+~a
>tri. o+? Vietnam kho^ng co' loa.i dda(.c hie^.u nhu+ o+? nu+o+'c 
ngoa`i.
>-Kho^ng co' ddie^`u kie^.n xa. tri.
>- Tru+o+`ng ho+.p cha'u co' may la` su+'c khoe? to^'t va` gia ddi`nh
>dda~ ki.p tho+`i lo ddu+o+.c so^' ta`i chi'nh dda'ng ke^? cho ddo+.t
>ta^'n co^ng  vu+a` ro^`i (dda^u 1,6 trie^.u ddo^`ng mo^.t o^'ng thuo^'c
>ma` dda~ du`ng dde^'n 20 o^'ng) chu+a ke^? ca'c thu+' kha'c. Chi. Mai
>no'i ne^'u la^u da`i nhu+ the^' na`y thi` kho^ng the^? co' ddie^`u
>kie^.n nu+~a.
>
>Theo y' kie^'n chi. Mai  ma(.c du` kho^ng ca^`n ca^'y tuy? thi` va^~n
>pha?i ti`m ca'ch ra nu+o+'c ngoa`i mo+'i co' co+ may chu+~a tri. cho
>cha'u kho?i ha(?n.
>..............
>Tha^n
>TVHai



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