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[硫酸卡那霉素治疗脑膜炎球菌性脑膜炎的临床实验室依据]

[Clinical laboratory basis for using kanamycin sulfate for treating meningococcal meningitis].

作者信息

Ivanov K S, Verovaia A V, Popova N N

出版信息

Antibiotiki. 1982 Jan;27(1):69-73.

PMID:7059149
Abstract

Satisfactory penetration of lincomycin sulfate through the hematoencephalic barrier was shown in experimental meningococcic meningitis of rabbits and in treatment of patients with meningococcic meningitis. Constant high levels of the antibiotic in the cerebrospinal fluid, meninx vasculosa, penetration into the brain tissues may be achieved after intramuscular injection of the drug in a dose of 500 mg every 8 hours. The study showed therapeutic efficacy of kanamycin in the treatment of the patients with meningococcic meningitis. It may be recommended for the clinical use as a reserve antibiotic. As an independent etiotropic agent kanamycin may be used in sensitivity to benzylpenicillin or its inefficiency in treatment of the meningococcic infection. Kanamycin may be used in combination with benzylpenicillin in severe forms of meningitis, meningoencephalitis or purulent meningitis of an unknown etiology.

摘要

在兔实验性脑膜炎球菌性脑膜炎以及治疗脑膜炎球菌性脑膜炎患者时,硫酸林可霉素可有效透过血脑屏障。每8小时肌肉注射500毫克该药物后,脑脊液、脑膜血管中可维持恒定的高抗生素水平,并可渗透至脑组织。研究表明卡那霉素对脑膜炎球菌性脑膜炎患者有治疗效果。可推荐其作为备用抗生素用于临床。作为一种独立的病因特异性药物,卡那霉素可用于对苄青霉素敏感或其治疗脑膜炎球菌感染无效的情况。在病因不明的严重脑膜炎、脑膜脑炎或化脓性脑膜炎中,卡那霉素可与苄青霉素联合使用。

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