临床药师参与治疗1例hellp综合征合并急性肾功能衰竭-中国药房.pdfVIP

临床药师参与治疗1例HELLP 综合征合并急性肾功能衰竭患者的用药分析 ＊ 李 静 ，叶建林，宋惠珠（南京医科大学附属无锡市人民医院药剂科，江苏无锡 214023） 中图分类号 R978.1；R969.3 文献标志码 B 文章编号 1001-0408（2013）30-2870-04 DOI 10.6039/j.issn.1001-0408.2013.30.31 摘 要 目的：为临床药师参与HELLP 综合征治疗提供参考。方法：对1例临床药师参与救治的重度子痫前期合并HELLP 综合 征、急性肾功能衰竭、急性胰腺炎患者，采取积极的对因、对症及支持治疗，包括解痉、降压、纠正凝血功能障碍、抑酸抑酶、保肝护 肾、抗感染、保护脏器功能及营养支持的综合治疗。结果：临床药师参与HELLP 综合征的治疗，协同临床医师优化给药方案；患者 病情稳定，出院。结论：临床药师积极参与临床实践，发挥药学专长，有利于患者的用药安全有效。 关键词 HELLP 综合征；急性肾功能衰竭；用药分析；临床药师；药学监护 Analysis of the Drug Use of Clinical Pharmacist Participating in the Therapy for a Case of HELLP Syn- drome Complicating with Acute Renal Failure LI Jing ，YE Jian-lin ，SONG Hui-zhu（Dept. of Pharmacy ，The Affiliated Wuxi People ’s Hospital of Nanjing Med- ical University ，Jiangsu Wuxi 214023，China ） ABSTRACT OBJECTIVE ：To provide reference for clinical pharmacist participating in the therapy for HELLP syndrome. METH- ODS ：Clinical pharmacist participated in the therapy for a case of severe preeclampsia complicating with HELLP syndrome ，acute renal failure and acute pancreatitis. Etiological treatment ，symptomatic treatment and support treatment were all adopted ，including spasmolysis ，lowering blood pressure ，correcting coagulation disorders ，inhibiting acid and enzyme ，liver and kidney protecting treatment ，anti-infective treatment ，the function of protecting organs and nutritional support. RESULTS ：Clinical pharmacist partici- pated in the medical treatment of HELLP syndrome and cooperated with clinical physicians to optimize medicine plan. The patient ’ s condition was stable and then discharged from hospital. CONCLUSIONS ：The safety and efficacy of drug use are improved through clinical pharmacists actively participate in clinical practice and give full play their pharmaceutical expertise. KEY WORDS HELLP syndrome ；Acute renal failure ；Analysis of drug use ；Clinical pharmacist ；Pharmaceuti