1例糖尿病酮症酸中毒伴急性胰腺炎患者的药学监护

目的:探讨糖尿病酮症酸中毒伴急性胰腺炎患者的药学监护及个体化治疗措施。方法:针对1例糖尿病酮症酸中毒伴急性胰腺炎,临床药师根据病例特点、辅助检查等,结合相关指南推荐,进行全面的药学监护,为临床提供合理的药学建议,评价治疗效果。结果:高血糖、酮症酸中毒状态和代谢紊乱状态得到纠正,淀粉酶恢复正常,病情逐渐好转。结论:对于糖尿病酮症酸中毒伴急性胰腺炎,治疗以禁食和治疗DKA为主,临床药师一方面要结合病情对症给药,另一方面要密切观察药物之间的相互作用及可能的不良反应,促进临床合理用药,保障患者安全。

Objective： To explore how to provide pharmaceutical care and individual treatment for diabetic ketoacidosis complicated withacute pancreatitis. Methods： For the diabetic ketoacidosis patient with acute pancreatitis,clinical pharmacist provided comprehensivepharmaceutical care and evaluated the therapeutic effect based on the characteristic of the patient,anxiliary examination and relatedguidelines. Results： The treatment was effective for the diabetic ketoacidosis patient with acute pancreatitis,with hyperglycemia、 diabeticketoacidosis and metabolic disturbance all under rectified,amylase returned to normal. the patient gradually improved. Conclusion： Forthe diabetic ketoacidosis patient with acute pancreatitis, fasting and rectifying DKA was the most important treatment. On the one hand,clinical pharmacists should give timely treatment according to the patient＇s condition. On the other hand,they should pay close attentionto the interaction and adverse reactions of drugs,promote rational use of drugs in clinic and ensure the safety of patients.