The invention discloses a 
cefcapene pivoxil 
hydrochloride synthesis method, and belongs to the technical field of synthesis of 
cephalosporin medicines. The 
cefcapene pivoxil 
hydrochloride synthesis method comprises the following steps: (1) using BCN as a starting material, reacting with an inorganic acid 
aqueous solution in a 
solvent to obtain a dissolved clarified solution, standing, layering, abandoning a 
water layer, collecting an 
organic layer comprising a compound I, and 
drying; (2) adding a 
formic acid and a concentrated 
hydrochloric acid, reacting at the temperature of 0-5 DEG C, washing with water after finishing reacting, layering, and collecting an 
organic layer comprising a compound II; (3) adding a 
sodium bicarbonate aqueous solution and iodomethyl pivalate, maintaining the pHvalue to 5-6, layering after finishing reacting, collecting the 
organic layer, adding 
ethanol, washing with water, layering, additionally adding the 
ethanol in the organic layer, regulating the pH value to 7-8 by using an inorganic base, layering, and collecting an organic layer comprising a compound III; and (4) conducting vacuum concentration until no 
liquid drop is distilled, adding a 
solvent,adding a diluted 
hydrochloric acid, regulating the 
crystallization, cooling, growing the 
crystal, conducting suction 
filtration, and 
drying to obtain 
cefcapene pivoxil 
hydrochloride. The process of the method is simple, the reaction condition is mild, the method is 
environmentally friendly, the yield is high, the purity is high, and the method is easy for industrial production.