临床药师对1例复杂性先天性心脏病患儿术后并发急性肝功能损伤的药学监护  

Pharmaceutical Care for Postoperative Acute Liver Injury in a Child with Complex Congenital Heart Disease by Clinical Pharmacists

作　　者：黄金柱[1] 温悦[1] 卢来春[1] 

机构地区：[1]第三军医大学第三附属医院药剂科,重庆400042

出　　处：《中国药房》2014年第14期1341-1344,共4页China Pharmacy

摘　　要：目的:探讨临床药师在复杂性先天性心脏病患儿术后并发急性肝功能损伤的药学监护点。方法:为1例复杂性先天性心脏病术后并发急性肝损伤和肺部感染的患儿制订个体化治疗方案,通过积极控制原发病、促进肝细胞再生与减轻高胆红素血症、防治缺血再灌注与保肝、治疗消化道出血等治疗急性肝功能损伤,同时调整抗感染药物。结果:患儿病情稳定,各项指标正常,从心外科重症监护病房转入儿科普通病房治疗。结论:临床药师对复杂性先天性心脏病患儿实施药学监护,可以提高药物治疗水平,使婴幼儿用药趋于安全、合理、有效和经济。OBJECTIVE： To explore the points of pharmaceutical care for postoperative acute liver injury in a child with com- plex congenital heart disease. METHODS： Individualized treatment plan had been developed for postoperative acute liver injury and pulmonary infection in a child with complex congenital heart disease. Therapy for acute liver injury was conducted by controlling primary diseases, promoting liver cell regeneration and reducing hyperbilirubinemia, preventing and curing ischemia/reperfusion, protecting liver tissue, curing hemorrhage of digestive tract, etc. At the same time, anti-infective agents were adjusted according to the situation. RESULTS： The patient＇s condition was stable, and the indicators returned to normal; the child transferred from ICU of cardiac surgery department to general ward of pediatric department. CONCLUSIONS： Pharmaceutical care for child with com- plex congenital heart disease by clinical pharmacists can improve the level of drug treatment to be safer, more reasonable, effective and economical in infant medication.

关 键 词：先天性心脏病 急性肝功能损伤 肺部感染 药学监护 

分 类 号：R952[医药卫生—药学] R969.3