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治疗胆道感染的理想抗生素,应对致病菌有充分的抗菌活力,能充分地向胆汁中移行,使胆汁中的药物浓度高,肾毒性低和基本上没有副作用。胆道感染患者,不少病例有基础疾病,肝功能有不同程度的损害,特别是有阻塞性黄疸的患者,胆汁的分泌,药物等物质向胆汁的移行都有改变,且接受内科治疗的患者不易检出胆汁中细菌,因此对其疗效的判定亦极为困难。本文采用经皮、经肝胆管引流(PTCD)从
The ideal antibiotic for the treatment of biliary tract infections should have adequate antibacterial activity against pathogenic bacteria and be able to migrate fully into the bile with high drug concentration in bile, low nephrotoxicity and virtually no side effects. Patients with biliary tract infections, many cases of underlying diseases, liver function in varying degrees of damage, especially in patients with obstructive jaundice, bile secretion, drugs and other substances have changed to the bile migration, and patients receiving medical treatment is not easy Detection of bile bacteria, so the determination of its efficacy is extremely difficult. In this paper, percutaneous, transhepatic biliary drainage (PTCD) from