临床药师参与1例乳腺癌患者颈内静脉血栓抗凝治疗的案例分析  

Analysis on the clinical pharmacists’participation in the anticoagulant treatment of internal jugular vein thrombosis in a breast cancer patient

作　　者：张艺 戎佩佩[2] 解吉奕 ZHANG Yi;RONG Peipei;XIE Jiyi(Department of Pharmacy,the First People's Hospital of Jiangxia District,Wuhan,430200,Hubei,China;Department of Pharmacy,Renmin Hosptial of Wuhan Univeristy,Wuhan,430060,Hubei,China;Department of Pharmacy,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430062,Hubei,China)

机构地区：[1]武汉市江夏区第一人民医院药剂科,湖北武汉430200 [2]武汉大学人民医院药学部,湖北武汉430060 [3]华中科技大学同济医学院附属协和医院药学部,湖北武汉430062

出　　处：《肿瘤药学》2024年第6期760-763,共4页Anti-Tumor Pharmacy

摘　　要：本文报道了临床药师参与1例三阴性乳腺癌患者合并右侧颈内静脉血栓形成(IJVT)的治疗过程。患者于术后植入输液港,并在放疗后口服卡培他滨维持治疗期间血栓形成,临床药师分析了颈内静脉血栓形成的可能原因,参与制定了抗凝方案,并提供个体化药学服务。在兼顾抗肿瘤治疗的同时,抗凝治疗过程顺利且疗效显著,患者复查未见明显复发转移征象。This article reported the involvement of clinical pharmacists in the treatment of right internal jugular vein thrombosis(IJVT)in a patient with triple-negative breast cancer.The patient was implanted with venous access port after surgery,and thrombosis occurred during the maintenance treatment with oral capecitabine after radiotherapy.Clinical phar-macists analyzed the possible causes of internal jugular vein thrombosis,participated in the formulation of anticoagulation plans,and provided individualized pharmaceutical care.Finally,while taking into account anti-tumor treatment,the antico-agulation was successful and effective,and no obvious signs of recurrence and metastasis were found in the cancer reexami-nation.

关 键 词：乳腺癌 临床药师 静脉血栓 抗凝 药学服务 

分 类 号：R737.9[医药卫生—肿瘤] R969.3[医药卫生—临床医学]