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中国医药导刊 ›› 2021, Vol. 23 ›› Issue (1): 42-45.

• 病例分析 • 上一篇    下一篇

1例中西医结合治疗侵袭性肺曲霉菌病合并鲍曼不动杆菌肺部感染患者的药学监护

徐熠1a, 王振伟1b, 叶晓芬2, 黄瑾1a*, 刘静1a   

  1. 1.上海中医药大学附属岳阳中西医结合医院药剂科a, 呼吸内科b, 上海 200437;
    2.复旦大学附属中山医院药剂科, 上海 200032
  • 收稿日期:2020-04-30 修回日期:2021-02-25 出版日期:2021-01-28 发布日期:2021-01-28
  • 基金资助:
    上海市“医苑新星”青年医学人才培养资助计划(项目编号:沪卫计人事〔2019〕72号;项目名称:临床药师项目);上海市卫计委科研课题(项目编号:20174Y0194;项目名称:卫生行业临床研究专项青年项目);上海中医药大学第二批临床师资“优教”项目资助(项目编号:上中医岳字〔2018〕88号;项目名称:新锐培训计划)

Pharmaceutical Care on A Patient with Invasive Pulmonary Aspergillosis Combined with Acinetobacter baumannii Infection

  1. 1. Department of Pharmacya, Department of Pneumologyb, Yueyang Hospital of Integrated
         Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China;
    2. Department of Pharmacy, Zhongshan Hospital, Fudan University, Shanghai 200032, China
  • Received:2020-04-30 Revised:2021-02-25 Online:2021-01-28 Published:2021-01-28

摘要: 目的:探讨中医临床药师参与中西医结合治疗侵袭性肺曲霉菌病合并鲍曼不动杆菌肺部感染患者药学监护经验,以期为临床合理用药提供参考。方法:对1例中西医结合治疗侵袭性肺曲霉菌病合并鲍曼不动杆菌肺部感染患者进行全程药学监护,评估药物治疗方案,预防并及时处理药物不良反应。 结果:临床药师全方位参与临床治疗侵袭性肺曲霉菌合并鲍曼不动杆菌肺部感染患者药学监护,治疗过程中患者用药疗效提高,药物不良反应的危害降低。结论:在复杂、重症的患者治疗中,中医临床药师可根据自身专业的药物知识,为患者提供更周全的药学监护,对提高疗效、保障患者用药安全方面可发挥积极的作用。

关键词: font-size:medium, ">侵袭性肺曲霉菌病;鲍曼不动杆菌;中西医结合;药学监护;临床药师

Abstract: Objective: To explore the experience of clinical pharmacists in the pharmaceutical care on a patient with invasive pulmonary aspergillosis combined with Acinetobacter baumannii infection treated by the combination of traditional Chinese and western medicine, and in order to provide a reference for rational drug use.Methods: A case of patient with invasive pulmonary aspergillosis combined with Acinetobacter baumannii infection was provided pharmaceutical care, and the drug treatment plan was evaluated and the adverse drug reaction was prevented and treated. Results: Clinical pharmacists participate and carry out comprehensive pharmaceutical care in the treatment plan of invasive pulmonary aspergillus combined with Acinetobacter baumannii pulmonary infection, and the effect was obvious and the harm of adverse drug reactions were reduced druing the treatment process. Conclusion: In the treatment of complex and severe patients, clinical pharmacists can provide more comprehensive pharmaceutical care based on their professional knowledge of drugs, which can play an active role in improving the efficacy and ensuring the safety of patients′ medication.
     [Key Words

Key words: font-size:medium, ">Invasive pulmonary aspergillosis; Acinetobacter baumannii; Combination of Chinese traditional and western medicine; Pharmaceutical care; Clinical pharmacist

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