肝胆外科特殊使用级抗菌药物应用典型病例分析  

The clinical application Analysis of special class of antibiotics in Department of Hepatobiliary Surgery

作　　者：杨静[1] 郑磊[1] 陈莉[1] 杨传英[1] 

机构地区：[1]山东省交通医院药学部,山东省济南250031

出　　处：《中国基层医药》2017年第9期1420-1423,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：中国药学会科技开发中心委托研究项目“医院药品直急保障‘模块化管理’实践研究”（2012DCST04EM03）

摘　　要：目的 通过对应用特殊使用级抗菌药物的临床典型病例分析,探讨肝胆外科特殊使用级抗菌药物在临床应用中需注意的问题.方法 对该院肝胆外科应用特殊使用级抗菌药物的典型病例进行分析、点评.结果 肝胆外科应用特殊使用级抗菌药物时,应根据病原菌的耐药特点及药物敏感试验结果及时调整抗菌药物治疗方案,重症感染应及时给予足量药物,应根据患者肝肾功能及时调整抗菌药物剂量,对治疗指数窄的药物注意药物剂量浓度,应谨慎联合用药、避免不必要的重复用药.结论 通过肝胆外科应用特殊使用级抗菌药物典型病例分析,可促进特殊使用级抗菌药物的合理使用.Objective To explore the clinical application of the special use of antibacterial drugs in Department of hepatobiliary surgery by analyzing the typical cases of the use of antibiotics.Methods This paper analyzes and comments on the typical cases of the use of special antibiotics in Department of hepatobiliary surgery.Results Department of hepatobiliary surgery the special use level of antibacterial drugs,should be based on the pathogenic characteristics of drug resistance and drug sensitivity test results and timely adjustment of antimicrobialtherapy,severe infection should be given sufficient medicines in a timely manner,should adjust the antibiotics dose according to liver and kidney function,drug dose attention to drugs with narrow therapeutic index,combined medication,caution should be avoided unnecessary repeat medication.Conclusion Through the analysis of the typical cases of the special use of antibiotics in Department of hepatobiliary surgery,it can promote the rational use of antibiotics.

关 键 词：抗菌药 案例分析 合理用药 肝胆外科 

分 类 号：R656[医药卫生—外科学]