1例神经内科重症患者腹泻病例分析

One case analysis for severe diarrhea in neurological department

目的:了解危重症监护室患者出现腹泻的原因,为临床药师处理重症患者腹泻提供一定的参考。方法:临床药师参与治疗过程对1例危重症患者住院期间所用药物及实验室等相关检查结果,结合临床症状,找出患者出现腹泻的原因和处理方法。结果:在54d的住院期间内,共发生3次腹泻,原因分别是导泻剂所致腹泻、抗菌素相关性腹泻、肠内营养不耐受性腹泻。结论:危重症患者的腹泻应结合患者的病情,用药情况及营养情况多方考虑,综合分析治疗。

Objective：To investigate the reasons of diarrhea in intensive care unit, providing reference for the clinical pharmacists to treat severe diarrhea patients. Methods： During the treatment of a severe diarrhea patient, the clinical pharmacists found the reasons and treatment methods according to the medication, laboratory exam- ination, clinical symptoms and so on. Results ： During the hospitalization of 54 days, the patient suffered from diarrhea for three times. The reasons of diarrhea were cathartic effect, antibiotic associated diarrhea,and enteral nutrition intolerance, respectively. Conclusion：For diarrhea of severe patients, the clinical pharmacists should comprehensively analyze and treat the disorder based on the factors such as the disease condition, medication and nutrition.