1例慢性阻塞性肺疾病伴自发性气胸患者临床治疗的药学监护

Pharmaceutical Care for Clinical Therapy in A Chronic Obstructive Pulmonary Disease Patient with Spontaneous Pneumothorax

目的:探讨临床药师参与医师治疗团队抗感染治疗的作用。方法:临床药师通过分析1例慢性阻塞性肺疾病合并自发性气胸患者的治疗用药,结合患者疾病特点及其具体情况,先后对抗感染治疗药物进行调整。结果:医师采纳临床药师建议,患者咳嗽、咳痰好转,痰由黄色黏稠性转为白色稀痰;体温恢复正常;复查X-线胸片DR示气胸线消失,肺复张完全,胸膜破漏口愈合;对治疗效果满意后出院。结论:临床药师参与医师治疗团队,可以协助医师制订安全、有效、经济、合理的治疗方案,提高临床治疗效果,在合理用药中发挥重要作用。

Objective： To explore the diagnosis and treatment clinical pharmacists to participate in the physician team of anti-infection treatment. Methods： Clinical pharmacists by analyzing a case of chronic obstructive pulmonary disease with medicine for the treatment of patients with spontaneous pneumothorax, Combining with the characteristics of patients with disease and its specific situation, the anti-infection drugs treatment is successively adjusted. Results： Doctors adopt clinical pharmacists recommendation, patients with cough are impoved and sputum by viscosity trans- ferred into white thin yellow sputum. Body temperature returned to normal. By reviewing the X-ray DR pneumothorax line disappears, lung after zhang completel and pleural broken mouth to heal. Patients were satisfied with the treatment effect after discharged from hospital. Conclusions： Doctors treatment team, with the help of clinical pharmacists make safe, effective, economic and reasonable treatment, improve the effect of clinical treatment and play an important role in the rational use of drugs.