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新生儿静脉滴注头孢拉定的药代动力学

Pharmacokinetics of cephradine in neonates

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【作者】 许俐张文敏李惠芬李文茹周秦玉

【Author】 XU Li, ZHANG Wen-min, LI Hui-fen, LI Wen-ru, ZHOU Qin-yu (Tianjin Children’s Hospital, Tianjin 300074)

【机构】 天津儿童医院儿研所!300074天津儿童医院内科!300074

【摘要】 本文对15名新生儿进行了单次静脉滴注头孢拉定50mg/kg后的药物动力学研究,并对8名新生儿进行了尿药浓度测定。其结果为静滴头孢拉定50mg/kg后峰浓度为84.30±28.00mg/L,药物消除半衰期为 1.91±0.56h,表观分布容积为 0.76±0. 28L/kg,清除率为 0.322±0.126L· kg-1· h-1。本文还对不同日龄新生儿药物消除。情况进行比较,结果表明:日龄大于 14d比不足 14d的新生儿消除半衰期缩短,清除率增加,差异有显著性。静滴后8h尿药浓度达105.8±61.75mg/L。

【Abstract】 The pharmacokinetics after single intravenous injection of cephradine 50mg/lg was studied in 15 neonates. The peak concentration was 84. 30±28. 00mg/L after injection. The elimination T1/2 was 1. 91 ±0. 56h, the volume of distribution 0. 76 ±0. 28L/kg, the clerance of cephradine 0. 322±. 126L. h-1·kg-1. The difference for elimination of cephradine in different dag age was studied. Comparison as the data in neonateas over 14 days and under 14 days showed that T1/2(β)is shorter and the clearance is larger. The urine cephradine concentration at 8 hours after injection was 1058±61. 75mg/L, showing that the elimination of cephradine in neonates is slowerthan that in adults. It is suggested that the interval of dosage for neonates may be longer than that for adults.

【关键词】 新生儿头孢拉定静脉滴注药物动力学
【Key words】 neonatecephradinepharmacokinetics
  • 【文献出处】 中国药学杂志 ,Chinese Pharmaceutical Journal , 编辑部邮箱 ,1994年01期
  • 【分类号】R969
  • 【被引频次】5
  • 【下载频次】56
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