1例结肠癌患者术前诊断医疗机构相关性肺炎的药物治疗与监护

The Drug Treatment and Pharmaceutical Care on One Case of Health Care Associated Pneumonia Before Colon Cancer Operation

目的:临床药师通过对结肠癌术前诊断医疗机构相关性肺炎患者进行药物治疗与监护,辅助临床合理选择药物。方法:1例69岁的男性患者入我院普外科,查体有肠梗阻体征,肿瘤标志物癌胚抗原升高。入院后,药师和临床医生密切配合,调整抗感染治疗方案、根据患者肌酐清除率调整所用药物的剂量以及对药源性氨基转移酶升高的识别和处理。结果与结论:患者入院后1月,肺炎控制良好,病情平稳,拟进行相关指征性手术治疗。临床药师为临床积极提供药物治疗信息和循证证据,辅助临床合理选择药物,及时调整治疗方案,取得了良好疗效。

Objective： Clinical pharmacists participated in the treatment and pharmaceutical care of one case of health care associated pneumonia before colon cancer operation so as to provide the help in choosing drugs rationally. Methods： A 69-years-old male patient was hospitalized in general surgery of our hospital, with signs of intestinal ob- struction after physical examination and elevated tumor markers CEA. After admission, clinical pharmacist participated in the adjustment of antibiotics regimen, dosage titration and clarification of drug-induced elevated transaminase. Results and Conclusion： One month after hospitalization, the patient＇s condition was stable, pneumonia was well-controlled and surgical operation was proposed. Pharmacists cooperated with the clinical staff to supply medication information and evidence, help choosing drugs rationally, and adjust the therapeutic regimen. The curative effect was obtained as a result.