临床药师参与1例PICCO监测下急性心肌梗死治疗的病例分析

Analysis on the participation of clinical pharmacist in the treatment of acute myocardial infarction under pulse indicator continuous cardiac output monitoring

目的:探讨脉搏指数连续心输出量监测(pulse indicator continuous cardiac output,PICCO)技术在急性心肌梗死(acute myocardial infarction,AMI)患者中的应用。方法:分析1例临床药师参与的PICCO监护的心梗患者药物治疗过程。结果:临床药师根据PICCO监测数据分析心梗患者的心脏功能,提供个体化药物治疗方案,快速达到满意的临床效果。结论:利用PICCO监测血流动力学指标可以直接并有效地指导AMI的诊断和治疗。

Objective： To discuss the applications of pulse indicator continuous cardiac output（PICCO） monitoring method used in patient with acute myocardial infarction （AMI）. Methods： The medical treatment process of one case of patient with AMI under clinical pharmacist＇s participation in PICCO monitor was analyzed. Results： Clinical pharmacists analyzed the cardiac function of patients with AMI based on monitoring data of PICCO, and provided individualized pharmaceutical care for the patient, and quickly achieved satisfactory clinical results. Conclusion： PICCO hemodynamic parameters can directly and effectively guide the diagnosis and treatment of AMI.