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[血液透析和血液吸附期间慢性肾功能不全患者氨苄西林的药代动力学]

[Pharmacokinetics of ampicillin in patients with chronic renal insufficiency during hemodialysis and hemosorption].

作者信息

Iakovlev V P, Skala L Z, Cherniakov V L, Shcherbakov V A, Shuster A M

出版信息

Antibiot Med Biotekhnol. 1985 May;30(5):380-3.

PMID:4026260
Abstract

It was shown that when the filtration capacity of the kidneys was lowered even insignificantly (the creatinine clearance 50-80 ml/min), the maximum blood levels of ampicillin increased 2 times and its retention time was prolonged. At the terminal stage of chronic renal insufficiency the half-life of the drug and the area under the pharmacokinetic curve markedly increased and the plasma clearance decreased. Hemodialysis and hemosorption significantly lowered the ampicillin half-life. The ampicillin coefficient in hemosorption was 2 times higher than that in hemodialysis.

摘要

结果表明,当肾脏滤过能力即使轻微降低(肌酐清除率为50 - 80毫升/分钟)时,氨苄西林的最高血药浓度增加2倍,其滞留时间延长。在慢性肾功能不全终末期,药物的半衰期和药代动力学曲线下面积显著增加,血浆清除率降低。血液透析和血液吸附可显著降低氨苄西林的半衰期。血液吸附中氨苄西林的系数比血液透析高2倍。

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