药师对1例重症药疹伴发急性胰腺炎患者的临床会诊及用药体会  

Clinical Consultation and Medication Experience of Pharmacists for a Patient with Severe Drug Eruption Complicating with Acute Pancreatitis

作　　者：朱灿阳[1] 汝玲[1] 云雄[1] 

机构地区：[1]海南省人民医院药学部,海口570103

出　　处：《中国药房》2012年第30期2872-2874,共3页China Pharmacy

摘　　要：目的:探讨药师参与重症药疹伴发急性胰腺炎患者的临床会诊、制订用药方案的经验和体会。方法:对药师参与临床会诊的1例重症药疹伴发急性胰腺炎患者结合用药史进行用药分析,对患者的急性胰腺炎、高血糖、重症药疹进行药学监护,协助医师选择合适的药物,进行个体化给药。结果:患者生命体征稳定,全身糜烂面干燥、结痂,部分痂皮脱落;血淀粉酶85U·L-1,尿淀粉酶320U·L-1,血常规检查正常;肾功能、总胆汁酸及总胆红素基本正常。结论:药师通过参与临床会诊,发挥药学专长,提出合理的建议,可优化治疗方案。OBJECTIVE：To discuss the experience of pharmacist participating in clinical consultation and medication scheme design for a patient with severe drug eruption complicating with acute pancreatitis.METHODS：Based on the medication history,pharmacists participated in clinical consultation to analyze drug use of a case of severe drug eruption and acute pancreatitis,and pharmacists supplied pharmaceutical monitoring for acute pancreatitis,hyperglycaemia and severe drug eruption,and assisted physicians to select suitable drugs and formulate individual dosage regimen.RESULTS：The vital signs of patient were stable,the debauched skin was dry and formed a scab,and some callus skin fell off.The hemodlastase was 85 U·L-1 and amylase in urine was 320 U·L-1.Routine blood test was normal,and renal function,total bile acid and total bilirubin were normal.CONCLUSION：Pharmacists use their pharmaceutical professional skill,provide rational suggestions and optimize drug treatment by participating in clinical consultation.

关 键 词：药师 重症药疹 急性胰腺炎 临床会诊 

分 类 号：R952[医药卫生—药学] R969.3