1例急性胰腺炎并发酒精戒断综合征患者的药学监护

Pharmaceutical Care for a Patient with Acute Pancreatitis Complicated with Alcohol Withdrawal Syndrome

目的探讨急性胰腺炎并发酒精戒断综合征患者的药学监护。方法在1例急性胰腺炎并发酒精性肝病、酒精戒断综合征、肺部感染患者的治疗过程中存在多种治疗矛盾,临床药师以此为切入点,协助医师制订个体化用药方案,并监护患者用药全过程。结果在临床医师和临床药师共同参与下,患者急性胰腺炎症状很快得到改善,肺部感染和相继出现的抗菌药物相关性腹泻以及酒精戒断精神症状也逐步好转出院。结论临床患者并发多种疾病或出现治疗矛盾是临床药师工作的切入点。临床药师可协同临床医师优化治疗方案,实施药学监护,促进临床合理用药。

Objective To explore the pharmaceutical care approaches for patients with acute pancreatitis by clinical pharmacists. Methods There were various contradictions when treating patients with acute pancreatitis complicated with alcoholic liver disease, alcohol withdrawal syndrome and pulmonary infections. In this patient case, clinical pharmacists worked with physicians to individualize medication regime and monitored the process of treatment. Results With the cooperation between clinical pharmacists and physicians, the symptoms of acute pancreatitis were improved, the pulmonary infection, the subsequent antibiotics-associated diarrhea and alcohol withdrawal symptoms were all relived, and the patient was discharged. Conclusion Patients with comorbidities or therapeutic dilemma are good targets for pharmacist intervention. Clinical pharmacists can cooperate with physicians to optimize therapy and implement pharmaceutical monitoring for patients, and to promote rational use of drugs.