1例人工股骨头置换术后肺部感染患者的药学监护

Pharmaceutical care on a patient with pulmonary infection after the artifi cial femoral head replacement

1例83岁老年男性患者,因右侧人工股骨头置换术后3 d出现肺部感染,先后多次调整抗感染药物治疗方案。在抗感染治疗16 d后患者出现药物热,住院期间患者营养状况较差并出现上消化道出血等症状。在治疗过程中药师协助医生及时评估治疗方案,在抗感染药物的调整、药物热判定、消化道出血、营养支持等方面进行药学监护,治疗22 d后患者病情好转出院。

One 83-year-old male patient got pulmonary infection after the artiifcial femoral head replacement for 3 days, and the patient was treated with several anti-infection treatments. Drug fever occurred after 16 days treatment. During the treatment, the patient with poor nutritional status occurred upper gastrointestinal bleeding, etc. In the course of treatment, pharmacists assisted physicians in assessing the treatment plan, adjusting anti-infective drugs, judging drug fever, analyzing the reasons of gastrointestinal bleeding, providing suggestions about nutritional support. After 22 days of the therapy, the patient was discharged.