1例慢性阻塞性肺疾病合并肺部感染的病例分析

Chronic obstructive pulmonary disease with pulmonary infection: a case report

目的:分析1例慢性阻塞性肺疾病合并肺部感染患者用药过程,为临床提供正确的抗菌药物选择提供参考。方法:分析抗菌药物在体内的吸收、分布、代谢和排泄特点和患者的临床症状和实验室检查结果。结果:患者在院观察期间病情好转,发热、咳嗽及咳痰症状消失。患者不具有真菌感染的依据,不需要抗真菌治疗。结论:临床药师在临床工作中应充分利用自己所掌握的药学知识,解决临床中与药学相关的问题,并通过查阅相关医药学文献提出专业的药学分析及合理建议,使临床用药向合理化发展。

Objective：To analysis the medication of 1 case who diagnosed as chronic obstructive pulmonary disease with pulmonary infection,and to provide references of the correct selection of antibiotics.Methods：The absorption,distribution,metabolism and excretion characteristics of antibacterial drugs in vivo were analyzed,and the clinical symptoms and laboratory findings of the patient were analyzed.Results：The patient were improved during the hospital.Symptoms such as fever,cough and expectoration were disappeared.Without the evidence of the fungal infection,the patient was not given antifungal therapy.Conclusion：Clinical pharmacists should make full use of their knowledge,identify and solve drug related problems in clinical practice,through the literature review,the clinical pharmacists could provide professional analyses and reasonable advices to help medication rational use.