临床药师参与1例甲巯咪唑致胰岛素自身免疫综合征患者救治分析

Analysis of Clinical Pharmacist Participating in One Case of Insulin Autoimmune Syndrome Induced by Methimazole

目的:探讨临床药师在药源性低发病率疾病诊治中的作用。方法:临床药师通过参与1例甲巯咪唑致胰岛素自身免疫综合征患者的诊治过程,从用药角度提出诊治见解,避免了疾病的误诊和漏诊,针对患者低血糖频发的现象,提出合理化的用药方案。结果:医师接受建议并成功控制患者低血糖发作,予以出院,1个月后院外随访疾病控制良好。结论:临床药师通过充分掌握专科药物特点并深入结合患者病情进行分析,可协助临床医师在药源性低发病率疾病诊治中提出合理化建议,优化治疗方案,减少疾病的漏诊和误诊,提高治愈率。

Objective： To emphasize the importance of clinical pharmacists＇ role in the diagnosis and treatment of drug-induced diseases with lower incidence. Methods： Clinical pharmacists participated in the diagnosis and treatment of a case with insulin autoimmune syndrome （IAS） induced by methimazole, and provided rational suggestions according to the drug use, and avoided the misdiagnosis and missed diagnosis of the disease. For the patient＇ s frequent attacks of hypoglycemia, the rational medication regimen was recommended. Results： Physicians accepted the proposals and successfully controlled the patient＇ s hypoglycemia, and the patient was discharged. According to the results of follow-up after one month, the disease was controlled well, Conclusion ： By fully grasping the characteristics of drugs and deeply analyzing patients＇ conditions, clinical pharmacists can help physicians diagnose and treat drug-in- duced diseases with lower incidence, which can continuously optimize and improve medication regimen, and further reduce misdiagnosis and missed diagnosis of diseases.