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目的:通过对肾功能不全并发肺部感染重度胰腺炎患者的药物治疗进行分析,探讨临床药学的监护途径。方法:分析1例并发肺部感染、急性肾功能不全的胆源性重度急性胰腺炎患者治疗过程中所用的药物,临床医师和药师共同参与治疗,为患者制订个体化的用药方案,并监护药物应用的全过程。结果:临床医师在临床药师的参与指导下确定临床治疗路径,患者体温、血常规、降钙素原、血淀粉酶正常,CT提示胰腺恢复正常,患者治愈出院。结论:临床药师工作的切入点为患者合并有多种疾病或并发症,可协同优化临床医生的治疗用药方案,以促进临床合理联合用药。
OBJECTIVE: To analyze the drug treatment of patients with severe acute pancreatitis due to renal insufficiency complicated with pulmonary infection and to explore the ways of monitoring clinical pharmacy. Methods: One case of patients with biliary severe acute pancreatitis complicated by pulmonary infection and acute renal insufficiency were involved in the treatment, drugs, clinicians and pharmacists to make individualized medication plans for the patients and monitor the drug The whole process of application. Results: Clinicians determined the path of clinical treatment under the guidance of clinical pharmacists. The body temperature, blood routine, procalcitonin and blood amylase were normal. CT showed the pancreas returned to normal and the patients were cured and discharged. Conclusion: The entry point of clinical pharmacist work for patients with a variety of diseases or complications, can be synergistic to optimize the clinician’s medication regimen to promote clinical rational combination therapy.