1例胰十二指肠切除术后肺部感染并发腹腔感染患者的药学监护

Pharmaceutical care for one patient with pulmonary infection and abdominal infection after pancreaticoduodenectomy

目的探讨临床药师在特殊患者抗感染治疗中的作用。方法在1例胰十二指肠切除术后相继出现肺部感染、急性肾损伤、腹腔感染患者的治疗过程中,临床药师每日查房,开展药学服务,根据患者的临床症状、实验室检查结果、细菌学培养结果等,提出药物治疗建议,优化抗感染治疗方案并对患者行药学监护。结果在临床药师参与下,患者肺部感染、腹腔感染得到控制,肾功能指标好转,痊愈后出院。结论临床药师利用专业知识参与患者药物治疗,可保证患者用药安全,促进临床合理用药。

Objective To determine the role of clinical pharmacists in the treatment and care of one patient with infection combined with liver and kidney function damage after pancreaticoduodenectomy. Methods Clinical pharmacists participated in the consultation for a patient with infection combined with liver and kidney function damage after pancreaticoduodenectomy. Based on the conditions of the patient and antibiotic susceptive test, clinical pharmacists individualized medications for the patient. Results The infection in the patient was controlled, and the kidney function was improved gradually. Conclusion Participation of clinical pharmacists in the treatment of patients with infection improves the safety and effectiveness of drug treatment.