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头孢米诺在妇产科领域的药代动力学及临床研究

[Pharmacokinetics and clinical studies on cefminox in the field of obstetrics and gynecology].

作者信息

Cho N, Mitsukawa M, Aoki K, Togo M, Tamura T, Kunii K, Fukunaga K

出版信息

Jpn J Antibiot. 1985 May;38(5):1213-24.

PMID:3930789
Abstract

Cefminox (CMNX, MT-141), a new cephamycin antibiotic, was studied in the field of obstetrics and gynecology, and the following results were obtained. The absorption and the penetration of CMNX into pelvic dead space exudate were good. The mean peak serum level after single intravenous injection was 190.8 micrograms/ml. The level in pelvic dead space exudate reached a peak of 36.6 micrograms/ml 4 hours after an intravenous injection of 1 g and 6.5 micrograms/ml after 12 hours, thus the level over MIC against main pathogenic organisms was maintained for a long time. CMNX was administered against gyneco-obstetrical infections such as intrauterine, intrapelvic, adnexal infections and postoperative wound infections with daily dose of 2 g and was effective in 11 cases out of 12 cases (91.7%), and 81.8% of bacteriological effect was obtained. No side effect was observed. From the above results the usefulness of CMNX in the field of obstetrics and gynecology was suggested.

摘要

头孢米诺(CMNX,MT - 141)是一种新型头孢霉素类抗生素,在妇产科领域进行了研究,获得了以下结果。CMNX在盆腔死腔渗出液中的吸收和渗透良好。单次静脉注射后的平均血清峰值水平为190.8微克/毫升。静脉注射1克后4小时,盆腔死腔渗出液中的水平达到峰值36.6微克/毫升,12小时后为6.5微克/毫升,因此对主要致病微生物的水平在很长一段时间内保持高于最低抑菌浓度。CMNX用于治疗妇产科感染,如子宫内、盆腔内、附件感染和术后伤口感染,每日剂量为2克,12例中有11例有效(91.7%),细菌学有效率为81.8%。未观察到副作用。从上述结果表明CMNX在妇产科领域具有实用性。

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