摘要
目的:为临床药师对伪膜性肠炎患者的药学监护提供参考。方法:通过对1例肝左外叶切除术后抗菌药物使用不合理引起伪膜性肠炎的患者进行药学监护,临床药师建议:停用所有抗菌药物、蒙脱石散及黄连素;给予万古霉素0.5 g,q6h,口服,2 h后服用双歧杆菌三联活菌胶囊。结果:经过停用抗菌药物以及止泻剂,使用万古霉素和活菌制剂,并进行相关的药学指导,患者体温、大便恢复正常,伤口恢复良好,顺利出院。结论:临床药师在临床工作中不断总结和探索,可协助对伪膜性肠炎进行早期预防和合理治疗。
OBJECTIVE： To provide reference for clinical pharmacists providing pharmaceutical care for patient with pseudo- membranous enteritis. METHODS： Clinical pharmacists provided pharmaceutical care for a patient with pseudomembranous enteri- tis induced by irrational use of antibiotics after left external lobectomy. It was suggested to stop taking antibiotics, Montmorillonite powder and berberine. The patient was given vancomycin 0.5 g, q6h orally and continued Bifid tiple viable capsule therapy. RE- SULTS： After treatment and pharmacy guidance, the body temperature and defecation of the patient returned to normal and the wound recovered well. Then the patient was discharged from hospital. CONCLUSIONS： Clinical pharmacists continuously summa- rize and explore clinical work, and provide early prevention and proper treatment for pseudomembranous enteritis.
出处
《中国药房》
CAS
CSCD
2013年第42期4026-4028,共3页
China Pharmacy
关键词
伪膜性肠炎
抗生素相关性肠炎
万古霉素
药学监护
Pseudomembranous enteritis
Antibiotic-associated enteritis
Vancomycin
Pharmaceutical care
