临床药师参与1例儿童门静脉高压患者分流术后并发静脉血栓药学会诊的药学实践  

Clinical Pharmacist Participated in the Pharmaceutical Consultation on Venous Thromboembolism in Pediatric Patient with Portal Hypertension after Vascular Shunt

作　　者：钦佳怡 朱阳波 卢晓阳[2] 李平 QIN Jiayi;ZHU Yangbo;LU Xiaoyang;LI Ping(Xinhua Hospital Affiliated to School of Medicine,Shanghai Jiao Tong University,Shanghai 200092,China;The First Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310000,China)

机构地区：[1]上海交通大医学院附属新华医院,上海200092 [2]浙江大学医学院附属第一医院,杭州310000

出　　处：《中国现代应用药学》2023年第6期824-829,共6页Chinese Journal of Modern Applied Pharmacy

基　　金：浙江省医学会临床科研基金(2021ZYC-A64,2021ZYC-A67);浙江省药学会医院药学科研专项基金(2021ZYY08)。

摘　　要：目的探讨临床药师在儿童门静脉高压行血管分流术后发生静脉血栓的抗凝药物治疗中的作用。方法临床药师参与1例儿童门静脉高压行血管分流术后发生静脉血栓的抗凝药物治疗,通过分析儿童静脉血栓形成的高危因素,结合抗凝药物特点,药学会诊协助临床医师制定抗凝治疗及出院带药方案。结果经药师药学会诊优化了儿童门静脉高压术后静脉血栓形成的抗凝防治方案,患儿静脉血栓明显控制并好转出院。结论临床药师通过药学会诊可有效提高儿童抗凝药物治疗效果,并最大限度地降低抗凝药物出血风险,为儿童术后静脉血栓形成的防治提供重要参考。OBJECTIVE To explore the role of clinical pharmacists in anticoagulant treatment of venous thromboembolism after vascular shunt in pediatric patients with portal hypertension.METHODS Clinical pharmacists participated in the anticoagulant treatment of one case of a child with portal hypertension after vascular shunt combined with venous thromboembolism,analyzed the risk factors and therapy of pediatric venous thromboembolism,and assisted surgeons in drug selection,dosage adjustment and discharge medication through pharmaceutical consultation.RESULTS The pharmaceutical consultation advice was adopted.The pediatric patient’s venous thromboembolism had been controlled in time and discharged from hospital.CONCLUSION Clinical pharmacists’participating in consultations can improve the rational use of anticoagulant drugs and minimize the bleeding risk of anticoagulants,providing references for the prevention and treatment of postoperative venous thromboembolism in pediatric patients.

关 键 词：静脉血栓栓塞症 儿科患者 抗凝治疗 药学会诊 门静脉高压 

分 类 号：R969.3[医药卫生—药理学]