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胆道疾病对左旋氧氟沙星的胆药浓度的影响
引用本文:陈勇川 别平. 胆道疾病对左旋氧氟沙星的胆药浓度的影响[J]. 中国临床药学杂志, 1999, 8(3): 140-142
作者姓名:陈勇川 别平
作者单位:[1]中国人民解放军第三军医大学西南医院药剂科 [2]肝胆外科
摘    要:
目的:观察左旋氧氟沙星(LVFX)在胆道手术后患者的胆药浓度及其影响因素。方法:13例施行胆道手术并行T-管引流的患者poLVFX200mg,q8h,连服5d,用HPLC法测定LVFX在血浆、胆汁中的药物浓度。结果:胆囊结石降低胆汁中药物浓度;胆道梗阻程度与胆汁药物浓度有密切相关性,梗阻程度愈高,药物浓度愈低。结论:胆道疾病(特别是结石性胆道疾病)所造成的胆道梗阻状态在很大程度上影响LVFX在胆道的浓度,梗阻状态下低胆汁药物浓度将不利于感染的治疗。

关 键 词:左旋氧氟沙星 胆道感染 胆药浓度 胆道手术

Effect of biliary tract disease on concentration of levofloxacin in biliary tract
Chen Yongchuan,Liu Songqing,Dong Hui,et al. Effect of biliary tract disease on concentration of levofloxacin in biliary tract[J]. Chinese Journal of Clinical Pharmacy, 1999, 8(3): 140-142
Authors:Chen Yongchuan  Liu Songqing  Dong Hui  et al
Affiliation:Chen Yongchuan,Liu Songqing,Dong Hui,et al Department of Pharmacy of PLA,South-west Hospital,Third Military Medical University,Chongqing 400038
Abstract:
AIM:To study the concentration of levofloxacin(LVFX)in bile. METHODS: Thirteen patients undering biliary tract operations with T-tube drainages were given LVFX 200 mg,q8h for 5 d. Plasma and bile samples were measured by high performance liquid chro-matography. RESULTS:The cholecystolithiasis reduced the concentration of LVFX in gall-bladder bile. The relationship between the concentration of LVFX in bile and the status of biliary tract obstruct was confirmed. The more serious obstruct the patients were ,the lower biliary concentration of LVFX they will be. CONCLUSION:Cholelithiasis and bile tract ob-struct will effect LVFX penetration into biliary tract obviously. Under these condition the low concentration of LVFX in bile will be unfavourable to infectious treatment.
Keywords:levofloxacin  biliary tract  biliary tract infection
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