1例颅内静脉窦血栓形成并发癫的药学监护  

Pharmaceutical Care on a Patient with Cerebral Venous Sinus Thrombosis and Epilepsy

作　　者：倪晓珺[1] 逄晓云[1] 钟晗[1] 

机构地区：[1]上海交通大学医学院附属仁济医院药剂科,上海200127

出　　处：《医药导报》2017年第4期400-403,共4页Herald of Medicine

摘　　要：目的探讨临床药师在脑血管病并发癫患者药学监护中的作用。方法临床药师参与1例颅内静脉窦血栓形成并发癫患者的药物治疗。治疗期间,临床药师根据患者的基础情况及病情变化,对抗癫和抗感染治疗提供治疗建议,重点关注了奥美拉唑-艾司西酞普兰、甘露醇-地塞米松的相互作用,分析肝酶升高的原因,在出院时对患者进行了华法林用药教育。结果医生采纳建议,患者病情平稳出院。结论临床药师参与脑血管病患者的治疗,可有效减少用药风险,提高治疗的安全性和有效性。Objective To investigate the role of clinical pharmacist in medical therapy for a patient with cerebrovascular disease and epilepsy. Methods One patient was hospitalized due to headache and twitch. Clinical diagnosis was cerebral venous sinus thrombosis and epilepsy. During the treatment, the clinical pharmacist gave suggestion on drug selection of anti-infection and anti-epileptic therapy, assessed drug interaction between omeprazole-escitalopram and mannitol- dexamethasone, monitored the adverse drug reaction of valproate, and provided medication education to the patient. Results Physician adopted clinical pharmacist suggestion. The patient discharged with stable condition. Conclusion The participation of clinical pharmacists in the medication therapy of patients with cerebrovascular disease can reduce the risk of drug use and promote the efficacy and safety of medication.

关 键 词：静脉窦血栓 癫 临床药师 药学监护 

分 类 号：R969.3[医药卫生—药理学] R749.1[医药卫生—药学]