Buianov V M, Danilov K Iu, Brodinova N S, Khritonov S V, Zaranko E I
Antibiot Khimioter. 1991 Jan;36(1):32-4.
It was shown that intralymphatic+ inguinal administration of gentamicin provided its high concentrations in central lymph, blood and ++para-aortic lymph nodes and increased the antibiotic levels in the abdominal organs 2.33 to 6.66 times as compared with its intramuscular administration while lymphotropic retroperitoneal administration of gentamicin provided more prolonged maintenance of the antibiotic therapeutic concentrations in lymph of the thoracic lymphatic duct, central blood, ++para-aortic lymph nodes and the abdominal organs in comparison to its intramuscular administration. Intralymphatic+ inguinal administration of drugs providing the highest concentrations in all the organs of the abdominal cavity and the ways of the infection penetration is useful in therapy of severe inflammatory diseases of the abdominal organs inclined to generalization and lymphotropic retroperitoneal administration of drugs is useful in therapy of less severe purulent inflammatory processes in the abdominal cavity.
结果表明,庆大霉素经淋巴管+腹股沟给药后,在中央淋巴、血液和主动脉旁淋巴结中浓度较高,与肌肉注射相比,腹部器官中的抗生素水平提高了2.33至6.66倍;而庆大霉素经促淋巴性腹膜后给药,与肌肉注射相比,在胸导管淋巴、中央血液、主动脉旁淋巴结和腹部器官中能更持久地维持抗生素治疗浓度。经淋巴管+腹股沟给药能在腹腔所有器官中达到最高浓度,且针对感染的侵入途径,这对倾向于扩散的腹部器官严重炎症性疾病的治疗很有用;而药物的促淋巴性腹膜后给药对腹腔不太严重的化脓性炎症过程的治疗很有用。