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目的:探讨临床药师在肺栓塞患者治疗过程中进行药学监护的模式。方法:临床药师参与1例肺栓塞合并食管癌患者的治疗过程,协助临床制定药物治疗方案,开展相应的药学监护措施。结果:患者在治疗过程中有华法林抵抗发生,临床药师对其可能原因进行分析,提高抗凝治疗的有效性和安全性。结论:临床药师应从个体化用药出发,通过用药监护和宣教,促进合理用药。
Objective: To explore the clinical pharmacist in the treatment of pulmonary embolism in the process of pharmacy care mode. Methods: The clinical pharmacists involved in the treatment of one patient with pulmonary embolism complicated with esophageal cancer, assisted in the formulation of drug treatment programs, and carried out appropriate pharmacological monitoring measures. Results: Warfarin resistance occurred in the course of treatment. Clinical pharmacists analyzed the possible causes and improved the effectiveness and safety of anticoagulant therapy. Conclusion: Clinical pharmacists should proceed from individualized drug use and promote rational drug use through drug custody and mission.