1例肺炎合并横纹肌溶解症并发多脏器损害患儿的药学监护

Pharmaceutical Care of a Child with Pneumonia Complicated with Rhabdomyolysis and Multiple Organ Damage

目的探讨儿科临床药师在重症肺炎合并横纹肌溶解症并发急性多脏器功能损害治疗中的作用。方法临床药师对临床出现的1例横纹肌溶解症患儿诊疗过程中的治疗方案、不良反应和合并疾病对治疗的影响方面进行分析,并提出用药建议。结果参考临床药师意见,临床医师逐步完善了治疗,辨别药物不良反应,患儿病情好转出院。结论临床药师参与重症肺炎合并横纹肌溶解症患者的治疗过程,可协助医师完善用药方案,提高药物临床应用的合理性,保障患者用药安全。

OBJECTIVE To discuss the role of pediatric clinical pharmacists in the treatment of severe pneumonia complicated with rhabdomyolysis and acute rhabdomyolysis organ dysfunction. METHODS The clinical pharmacist analyzed the treatment plan, adverse reactions and the influence of comorbid diseases on the treatment of a child with rhabdomyolysis, and put forward medication recommendations. RESULTS With reference to the opinions of the clinical pharmacist, the clinician gradually improved the treatment and identified the adverse drug reactions.Eventually the child was discharged after improvement. CONCLUSION The participation of clinical pharmacists in the treatment of severe pneumonia patients with rhabdomyolysis can assist physicians to improve the medication plan, improve the rationality of clinical application of drugs, and ensure the safety of patients’ medication.