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全髋关节置换术中林可霉素的血浆、骨、髋关节囊、滑膜及引流液浓度。

Plasma, bone, hip capsule, synovial and drain fluid concentrations of lincomycin during total hip replacement.

作者信息

Parsons R L, Beavis J P, Hossack G A, Paddock G M

出版信息

Br J Clin Pharmacol. 1977 Aug;4(4):433-7. doi: 10.1111/j.1365-2125.1977.tb00758.x.

Abstract

1 Lincomycin (600 mg) was given 6 h preoperatively by intramuscular injection, as an intravenous infusion over 30 min and for 72 h postoperatively in twelve patients having total hip replacement. 2 The plasma, bone, hip capsule, synovial and drain fluid concentrations of lincomycin were almost always above the M.I.C. of lincomycin against penicillinase producing Staphylococcus aureus. 3 There was a good correlation between the estimated concentrations of lincomycin in bone by the grinding and agitation methods of analysis. 4 Two patients developed pseudomembranous colitis after parenteral lincomycin.

摘要
  1. 十二例行全髋关节置换术的患者,术前6小时肌肉注射林可霉素(600毫克),术中静脉输注30分钟,术后72小时持续静脉输注。

  2. 林可霉素在血浆、骨、髋关节囊、滑膜和引流液中的浓度几乎始终高于林可霉素对产青霉素酶金黄色葡萄球菌的最低抑菌浓度。

  3. 通过研磨和搅拌分析方法估算的骨中林可霉素浓度之间存在良好的相关性。

  4. 两名患者在接受胃肠外林可霉素治疗后发生了假膜性结肠炎。

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本文引用的文献

9
Comparative studies of antibacterial activity in vitro and absorption and excretion of lincomycin and clinimycin.
Am J Med Sci. 1968 Nov;256(5):279-92. doi: 10.1097/00000441-196811000-00002.

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