肉芽肿性多血管炎病例的诊治与用药分析  

Analysis on the diagnosis and medication treatment of granulomatosis with polyangiitis

作　　者：沈健 朱际平[2] 晏婷婷[3] 

机构地区：[1]南京中医药大学附属医院药学部,南京210029 [2]南京中医药大学附属医院呼吸科,南京210029 [3]南京中医药大学文献研究所,南京210023

出　　处：《中国临床药理学杂志》2015年第13期1309-1311,共3页The Chinese Journal of Clinical Pharmacology

基　　金：江苏省"青蓝工程"计划基金资助项目(2012JSQL-NZY05)

摘　　要：目的探讨临床药师在肉芽肿性多血管炎诊治中的作用。方法对1例肉芽肿性多血管炎病例在抗感染治疗初期效果不佳,临床药师提出增加万古霉素用量以使血药浓度达到有效抗菌浓度。在肉芽肿性多血管炎确诊后,临床药师通过查阅文献,与主治医师共同制定药物治疗方案。结果与结论临床药师通过在临床实践中不断的学习,并将自身的药学专长运用于临床实践,协助医师很好地完成了该疑难病例的诊治,体现了临床药师作为医疗团队中的一员在疑难病例诊治中的作用。Objective To investigate the role of clinical pharmacists in the diagnosis and treatment of granulomatosis with polyangiitis（GPA）.Methods The effect of anti-infection treatment was not so good in the early days,so the clinical pharmacist proposed to increase the doses of vancomycin to achieve the effective antibacterial blood concentration.After the GPA diagnosis was confirmed,the clinical pharmacist formulated therapeutic regimens with the physicians through searching literatures.Results and Conclusion The clinical pharmacist successfully assisted the physicians in the diagnosis and treatment of such difficult disease.The clinical pharmacist,as a member of the health care team in the diagnosis and treatment of difficult cases,could do well by their pharmaceutical expertise and continuous learning.

关 键 词：临床药师 肉芽肿性多血管炎 

分 类 号：R978.1[医药卫生—药品] R969.3[医药卫生—药学]