Ishiyama S, Katagiri S, Seo N, Yagi S, Iizawa H, Hoshikawa T, Hara T, Kameyama J, Tsukamoto M, Takahashi C
Jpn J Antibiot. 1985 Jun;38(6):1643-7.
We investigated the concentrations of cefmenoxime (CMX) after administration of 2 g of CMX, in the tissues resected during operation 2 hours after the beginning of intravenous drip infusion, and in the exudates from abdominal or thoracic cavities in the postoperative period. The results were as follows: The highest tissue concentration of CMX was found in the liver (59.0 +/- 20.3 micrograms/g), and the lowest was in the pancreas (13.9 +/- 8.1 micrograms/g). The concentrations of CMX in the tissues were in order of liver much greater than colon = esophagus = stomach greater than pancreas. The peak concentration of CMX in exudate from thoracic cavity was 15.6 +/- 10.1 micrograms/ml, and was observed 2 hours after the beginning of intravenous drip infusion, later than that in serum. Furthermore, the concentration of the exudate was maintained to a reasonable extent for 5 hours. The concentrations of CMX in both tissues and exudates were enough to inhibit the growth of many kinds of bacteria isolated from abdominal infections.
我们研究了静脉滴注开始2小时后手术切除的组织以及术后腹腔或胸腔渗出液中,给予2克头孢甲肟(CMX)后的浓度。结果如下:CMX在组织中的最高浓度出现在肝脏(59.0±20.3微克/克),最低浓度出现在胰腺(13.9±8.1微克/克)。组织中CMX的浓度顺序为:肝脏远高于结肠=食管=胃高于胰腺。胸腔渗出液中CMX的峰值浓度为15.6±10.1微克/毫升,在静脉滴注开始2小时后出现,比血清中的峰值浓度出现时间晚。此外,渗出液的浓度在5小时内保持在合理水平。组织和渗出液中CMX的浓度足以抑制从腹部感染中分离出的多种细菌的生长。