Wacha H, Knothe H
Chir Forum Exp Klin Forsch. 1978(1978):177-81.
Serum and bile kinetics are measured after experimental cystic duct ligation in 24 rabbits and after acute stone obstruction in 24 clinical cases. Tissue, bile, and serum levels are compared. The results clearly demonstrate that pharmacologic data alone do not give sufficient indications for antibiotic therapy in biliary tract infection. Expected pathologic bacteria and their actual resistance are considered to be of great importance in the indication of antibiotic therapy.
在24只兔子身上进行实验性胆囊管结扎后以及在24例临床病例中出现急性结石梗阻后,测量血清和胆汁动力学。比较组织、胆汁和血清水平。结果清楚地表明,仅药理学数据不足以作为胆道感染抗生素治疗的充分指征。预期的病原菌及其实际耐药性在抗生素治疗指征方面被认为非常重要。