1例肺脓肿患者抗感染治疗引发药物热、紫癜型药疹病例分析  

Antibiotics-induced drug fever and purpura-like drug eruption in one patient with lung abscess

作　　者：胡钟 徐旭萍 朱文莉 石庆平[2] 李殿明[2] 朱裕林[2] 

机构地区：[1]安徽省马鞍山十七冶医院,安徽马鞍山243000 [2]安徽省蚌埠医学院第一附属医院,安徽蚌埠233000

出　　处：《中南药学》2017年第8期1157-1159,共3页Central South Pharmacy

摘　　要：目的探讨临床药师参与1例肺脓肿患者抗感染治疗引发药物热、紫癜型药疹临床治疗的作用。方法临床药师分析引发药物热的抗菌药物并总结其发生特点,为临床诊断此类药物热提供一定参考;针对患者的紫癜型药疹,采用Naranjo评定法分析可疑药物及其不良反应等级,对患者进行个体化用药监护。结果通过药学监护,临床药师阻止了药物不良反应的恶化,减轻了患者的痛苦,提高了患者用药疗效。结论临床药师通过参与患者个体化药学监护,为医护人员提供互补的药学专业知识,提高药物治疗的安全性和有效性。Objective To determine the role of clinical pharmacists in the treatment of one patient with lung abscess with drug fever and purpura-like drug eruption due to anti-infection treatment. Methods Clinical pharmacists analyzed the antimicrobial drug which induced the drug fever and summarized its characteristics. We used Naranjo evaluation method to analyze suspicious drugs and adverse reactions in the patient with individualized regiment. Results Clinical pharmacists helped to prevent the deterioration of adverse drug reactions, reduced the pain in the patient and improved the curative effect. Conclusion Clinical pharmacists provide complementary medical expertise for medical staff and help improve the safety and effectiveness of drug treatment.

关 键 词：临床药师 药物热 紫癜型药疹 肺脓肿 

分 类 号：R95[医药卫生—药学]