1例输卵管积脓腹腔镜术后并发症患者的药学监护

Pharmaceutical Care of a Patient with Complications After Laparoscopic Surgery for Pyosalpinx: A Case Report

目的探讨临床药师在输卵管积脓腹腔镜术后并发症患者药学监护中发挥的作用。方法在患者术后并发肠梗阻、皮下渗液及病情改善的不同阶段,临床药师根据诊疗指南、细菌耐药数据、细菌培养及药敏试验结果,协助临床医师及时调整、实施抗感染治疗方案。结果并发症得到妥善解决,感染明显改善,患者出院1周后痊愈。结论临床药师积极实施药学监护,能为临床防控输卵管积脓腹腔镜术后并发症助力。

Objective To investigate the role of clinical pharmacist in pharmaceutical care for a patient with complications after laparoscopic surgery for pyosalpinx.Methods In the different stages of the patient with postoperative intestinal obstruction,subcutaneous exudate and improvement of condition,the clinical pharmacist assisted the clinical to adjust and implement anti-infective treatment plan in time based on the diagnosis and treatment guidelines,bacterial resistance data,the results of bacterial culture and drug sensitivity test,and participated in the treatment of the above complications.Results The complications were properly solved,the infection was obviously improved,and the patient fully recovered after one week of discharge.Conclusion Active pharmaceutical care carried by the clinical pharmacist can prevent and control the complications after laparoscopic surgery for pyosalpinx.