一例主动脉夹层腔内修复术患者联合用药致上消化道出血的用药分析与干预  

Analysis and Interposal of Upper Gastrointestinal Bleeding Induced by Drug Combination of the Patient with Pulmonary Embolism and deep vein Thrombosis

作　　者：曾露[1] 张程亮[1] 周玲[2] ZENG Lu;ZHANG Cheng-liang;ZHOU Ling(Department of Pharmacy, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan Hubei 430030,China;The First Affiliated Hospital of Soochow University, Suzhou Jiangsu 215006,China)

机构地区：[1]华中科技大学同济医学院附属同济医院药学部,湖北武汉430030 [2]苏州大学附属第一医院药剂科,江苏苏州215006

出　　处：《药品评价》2017年第14期55-58,共4页Drug Evaluation

摘　　要：目的:探讨静脉血栓症的预防及治疗中合并用药的监护要点和临床药师工作开展切入点。方法:参与心脏大血管外科一例主动脉夹层腔内修复术后,并发深静脉血栓和肺动脉血栓后患者消化道出血的原因分析、治疗方案制定与用药监护。结果:临床药师协助医生评估出血原因,对症治疗后调整抗栓方案出院。结论:协助医生用药方案制定,及时提供准确的药物合理应用信息,完善患者用药教育是临床药师工作的核心。Objective:To explore the point of monitoring the drug combination in prevention and treatment of venous thromboembolism(VTE)and the work to start of clinical pharmacists.Methods:The pharmacists participated in the analysis of the causes of bleeding,the formulation and supervision on treatment in one case of patient with gastrointestinal bleeding after anticoagulant therapy for aortic dissection intracavitary repair postoperative with deep vein thrombosis and pulmonary thrombosis.Results:Clinical pharmacists assist physicians in valuing the causes of gastrointestinal bleeding,providing the patient with symptomatic treatment and adjusting the antithrombotic scheme before hospital discharge.Conclusion:To assist the doctor making treatment formulation,provide accurate drug information for application,consummate the patients’education of medicine is the core of clinical pharmacists.

关 键 词：静脉血栓 抗凝 华法林 临床药师 

分 类 号：R573.2[医药卫生—消化系统] R654[医药卫生—内科学]