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[亚胺培南/西司他丁在外科重症医学中的应用]

[Imipenem/cilastatin in surgical intensive medicine].

作者信息

Wenk H, Schier H, Hollandt H, Valesky A

出版信息

Infection. 1986;14 Suppl 2:S171-5. doi: 10.1007/BF01647504.

Abstract

26 patients from the surgical intensive care unit, University Hospital Lübeck, received imipenem/cilastatin for severe abdominal, respiratory or urogenital infections. 500 mg imipenem/cilastatin were infused i.v. over 30 min q. i. d. The treatment was successful in 84,6% of the patients suffering from severe infections. Two cases were considered to be failures. 36 of the 43 isolated pathogens (83.7%) were eliminated. Transitory elevations of liver enzymes were the most frequent side-reactions observed; an increase in serum creatinine, diarrhoea or fungal colonization were less common.

摘要

吕贝克大学医院外科重症监护病房的26名患者因严重腹部、呼吸道或泌尿生殖系统感染接受了亚胺培南/西司他丁治疗。亚胺培南/西司他丁500毫克静脉滴注,30分钟内滴完,每日4次。84.6%的严重感染患者治疗成功。2例被视为治疗失败。43株分离病原体中有36株(83.7%)被清除。观察到最常见的副作用是肝酶短暂升高;血清肌酐升高、腹泻或真菌定植则较少见。

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