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强对患者呼吸道的护理,积极的对症治疗对改善患者IP                               lung cancer therapy[J]. Respirology,2020,25(Suppl 2):
          的预后有重要的意义。                                              72-79.
              而患者是否使用其他的EGFR-TKI作为后续治疗方                      [11]  XIE X H,WANG X W,WU S M,et al. Fatal toxic effects
          案,需评价先前使用EGFR-TKI的疗效,同时确认患者是                            related to EGFR tyrosine kinase inhibitors based on 53 co‐
                                                                  horts  with  9  569  participants[J].  J  Thorac  Dis,2020,12
          否存在EGFR-TKI 过敏史、吸烟史、肺功能情况、前期接
                                                                 (8):4057-4069.
          受过放疗或合并有放射性肺炎等的危险因素,严格评估
                                                             [12]  OHMORI T,YAMAOKA T,ANDO  K,et  al.  Molecular
          其用药的获益与风险。如继续接受EGFR-TKI进行靶向
                                                                  and clinical features of EGFR-TKI-associated lung injury
          治疗,在患者 IP 症状改善后,可考虑更换为其他 EGFR-
                                                                  [J]. Int J Mol Sci,2021,22(2):792.
          TKI 治疗、减少 EGFR-TKI 剂量、使用 EGFR-TKI 的同时
                                                             [13]  KASHIWABARA  K,SEMBA  H,FUJII  S,et  al.  Re-
          联合使用糖皮质激素等的方式重新使用 EGFR-TKI,而                            administration of chemotherapy in patients with advanced
          在用药期间亦需密切监测疗效及ADR,若患者再次出现                               non-small  cell  lung  cancer  who  recovered  from
          EGFR-TKI 致 IP 或病情进展,应马上停用 EGFG-TKI 并                    chemotherapy-induced interstitial lung disease[J]. In Vivo,
          调整患者后续的治疗方案。                                            2018,32(4):851-857.
          参考文献                                               [14]  WU L Q,ZHONG W J,LI A,et al. Successful treatment
          [ 1 ]  中华医学会呼吸病学分会间质性肺疾病学组. 特发性肺                        of EGFR T790M-mutant non-small cell lung cancer with
              纤维化诊断和治疗中国专家共识[J]. 中华结核和呼吸杂                         almonertinib  after  osimertinib-induced  interstitial  lung
              志,2016,39(6):427-432.                               disease:a case report and literature review[J]. Ann Transl
          [ 2 ]  KASHIWABARA K,SEMBA H,FUJII S,et al. Outcome     Med,2021,9(11):950.
              in advanced non-small cell lung cancer patients with suc‐  [15]  NISHIMA S,MIYANAGA A,SAITO S,et al. Successful
              cessful rechallenge after recovery from epidermal growth   treatment  with  afatinib  after  osimertinib-induced  intersti‐
              factor  receptor  tyrosine  kinase  inhibitor-induced  intersti‐  tial lung disease in a patient with EGFR-mutant non-small-
              tial lung disease[J]. Cancer Chemother Pharmacol,2017,  cell lung cancer[J]. Intern Med,2021,60(4):591-594.
              79(4):705-710.                                 [16]  TANI T,NAOKI K,ASAKURA T,et al. Successful treat‐
          [ 3 ]  胡洁,林丽珠,骆肖群,等 . EGFR-TKI 不良反应管理专                  ment of non-small-cell lung cancer with afatinib and a glu‐
              家共识[J]. 中国肺癌杂志,2019,22(2):57-81.                    cocorticoid  following  gefitinib-  and  erlotinib-induced  in‐
          [ 4 ]  MASUDA K,HORINOUCHI H,TANAKA M,et al. Effi‐      terstitial  lung  disease:a  case  report[J].  Mol  Clin  Oncol,
              cacy of anti-PD-1 antibodies in NSCLC patients with an   2016,5(4):488-490.
              EGFR  mutation  and  high  PD-L1  expression[J].  J  Cancer   [17]  BICKERT  C,KAHNERT  K,KAUFFMANN-GUERRERO
              Res Clin Oncol,2021,147(1):245-251.                 D,et al. Osimertinib rechallenge under steroid protection
          [ 5 ]  娄安琦,杜琪,余俊先 . 奥希替尼与第一、二代 EGFR-                    following  osimertinib-induced  pneumonitis:three  case
              TKIs 治疗 EGFR 突变晚期非小细胞肺癌疗效及安全性                       studies[J]. Ther Adv Med Oncol,2021,13:1758835921-
              的 Meta 分 析 [J].  中 国 临 床 药 学 杂 志 ,2020,29(4):       1018028.
              285-289.                                       [18]  BUGÉS C,CARCERENY E,MORAN T,et al. Interstitial
          [ 6 ]  张丛惠,崔小康,彭婷婷,等 . 奥希替尼治疗 EGFR 突变                   lung disease arising from erlotinib treatment in a Caucasian
              的晚期非小细胞肺癌疗效与安全性的 Meta 分析[J]. 中                      patient[J]. Clin Lung Cancer,2015,16(2):e1-e3.
              国药物警戒,2021,18(2):178-183.                      [19]  LU S,WANG Q M,ZHANG G J,et al. Abstract CT190:a
          [ 7 ]  SAKURADA T,KAKIUCHI S,TAJIMA S,et al. Charac‐    multicenter,open-label,single-arm,phase  Ⅱ  study:the
              teristics of and risk factors for interstitial lung disease in‐  third generation EGFR tyrosine kinase inhibitor almoner‐
              duced by chemotherapy for lung cancer[J]. Ann Pharmaco‐  tinib  for  pretreated  EGFR  T790M-positive  locally  ad‐
              ther,2015,49(4):398-404.                            vanced  or  metastatic  non-small  cell  lung  cancer
          [ 8 ]  MAMESAYA  N,KENMOTSU  H,KATSUMATA  M,et         (APOLLO)[J]. Cancer Res,2020,80(16_Supplement):
              al. Osimertinib-induced interstitial lung disease after treat‐  CT190.
              ment with anti-PD1 antibody[J]. Invest New Drugs,2017,  [20]  YANG J C,CAMIDGE D R,YANG C T,et al. Safety,ef‐
              35(1):105-107.                                      ficacy,and pharmacokinetics of almonertinib (HS-10296)
          [ 9 ]  SHAH R R. Tyrosine kinase inhibitor-induced interstitial   in  pretreated  patients  with  EGFR-mutated  advanced
              lung disease:clinical features,diagnostic challenges,and   NSCLC:a multicenter,open-label,phase 1 trial[J]. J Tho‐
              therapeutic dilemmas[J]. Drug Saf,2016,39(11):1073-  rac Oncol,2020,15(12):1907-1918.
              1091.                                                         (收稿日期:2022-08-18  修回日期:2023-01-20)
          [10]  LONG  K,SURESH  K.  Pulmonary  toxicity  of  systemic                             (编辑:刘明伟)




          中国药房  2023年第34卷第5期                                                 China Pharmacy  2023 Vol. 34  No. 5    · 599 ·
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