Meyers B R, Hirschman S Z
Antimicrob Agents Chemother. 1977 Feb;11(2):248-50. doi: 10.1128/AAC.11.2.248.
The pharmacokinetics of cefamandole were studied in four patients with stable renal failure, two patients undergoing peritoneal dialysis, and four patients undergoing hemodialysis. Peak concentrations of cefamandole in serum were achieved 1 to 2 h after intramuscular injection in the patients with stable renal impairment, and the concentrations declined slowly, with half-life values of 12.3 to 18 h. Cefamandole was removed only very slowly by peritoneal dialysis. Hemodialysis was more efficient in removing cefamandole, with serum half-life values ranging from 3.8 to 7.9 h. The mean apparent volume of distribution of cefamandole in these 10 patients was 21.92 liters, or 31% of the body weight.
对4例稳定型肾衰竭患者、2例接受腹膜透析的患者和4例接受血液透析的患者进行了头孢孟多的药代动力学研究。在稳定型肾功能损害患者中,肌内注射后1至2小时血清中头孢孟多达到峰值浓度,且浓度下降缓慢,半衰期值为12.3至18小时。腹膜透析清除头孢孟多的速度非常缓慢。血液透析清除头孢孟多的效率更高,血清半衰期值为3.8至7.9小时。这10例患者中头孢孟多的平均表观分布容积为21.92升,占体重的31%。