临床药师对1例药物性肝损伤患者的药学监护

Pharmaceutical care for a patient with pulmonary aspergillosis and drug-induced liver injury

目的分析1例陈旧性肺结核合并肺曲霉菌患者出现药物性肝损伤的药学监护过程,探讨临床药师在药物治疗中的作用。方法临床药师参与1例肺曲霉菌患者药物性肝损伤的治疗过程,从判断药源性疾病、建议用药方案的调整、对症治疗和适时的用药监护等方面,为患者提供药学服务。结果临床药师意见被采纳,患者经治疗后,病情好转,肝功能恢复。结论药物性肝损伤需引起注意,临床药师参与临床治疗团队,发挥积极作用,及时发现和判断药物引起的器官损害,体现了自身价值。

【Objective】To analyze one case with pulmonary aspergillosis and drug-induced liver injury, and explore the role of clinic pharmacists in drug therapy.【Methods】Clinical pharmacists participated in the process of diagnosis and treatment of a patient with pulmonary aspergillus and drug-induced liver damage, and provide pharmaceutical care for patients from judging the drug-induced diseases, the adjustment of the therapeutic regimen to symptomatic treatment, timely medical care, etc.【Results】Clinical pharmacists＇ opinions were adopted, symptoms of patients improved after treatment, and the liver function recovered. 【Conclusion】Drug-induced liver injury needs attention. Clinical pharmacists participating in the clinical treatment team plays a positive role and can timely detect and judge drug-induced organ damage with their own values reflected.