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1例妊娠伴甲亢合并饥饿型酮症患者的药学监护
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| 篇名： | 1例妊娠伴甲亢合并饥饿型酮症患者的药学监护 |
| TITLE： | |
| 摘要： | 目的：探讨临床药师在妊娠伴甲状腺功能亢进（以下简称“甲亢”）合并饥饿型酮症患者药物治疗中的作用。方法：临床药师参与1例妊娠伴甲亢合并饥饿型酮症患者的药物治疗过程，根据患者症状协助医师制订初始治疗方案，并针对患者在治疗过程中出现的甲亢症状控制不佳、心率过快和肝功能损伤等情况，先后建议调整丙硫氧嘧啶剂量避免胎儿发育风险，加用普萘洛尔控制心率，加用谷胱甘肽保肝，并调整患者的肠外营养方案。结果：医师采纳临床药师建议，患者甲亢症状得到控制，肝功能恢复正常，准予带药出院。结论：临床药师对妊娠伴甲亢合并饥饿型酮症患者的治疗进行药学监护，参与了治疗方案的制订和调整，保证了患者用药的安全、有效。 |
| ABSTRACT： | OBJECTIVE： To explore the role of clinical pharmacists in the treatment for the patients with hyperthyroidism in pregnancy and starvation ketosis. METHODS： Clinical pharmacists participated in the therapy for a patient with hyperthyroidism in pregnancy and starvation ketosis. According to the patient’s condition， clinical pharmacists assisted the physicians to formulate preliminary therapy plan. During the treatment， the hyperthyroidism of the patient poorly controlled， heart rate was too fast and the liver function injured. Clinical pharmacists suggested the physicians to adjust the dose of propylthiouracil in order to avoid the risk of prenatal development， use propranolol to control the heart rate and reduced glutathione to protect liver， and adjust the parenteral nutrition scheme of the patient. RESULTS： Physicians adopted the suggests of the clinical pharmacists. The hyperthyroidism symptoms of the patient were controlled， and the liver function returned to normal. The patient could be discharged from the hospital with medicines. CONCLUSIONS： Clinical pharmacists provide pharmaceutical care for the patient with hyperthyroidism in pregnancy and starvation ketosis， and participate in the formulation and adjustment of therapy plan so as to ensure the safety and effectiveness of drug use. |
| 期刊： | 2016年第27卷第32期 |
| 作者： | 何瑶，李卓恒 |
| AUTHORS： | HE Yao，LI Zhuoheng |
| 关键字： | 妊娠；甲状腺功能亢进；饥饿型酮症；临床药师；药学监护 |
| KEYWORDS： | Pregnancy； Hyperthyroidism； Starvation ketosis； Clinical pharmacist； Pharmaceutical care |
| 阅读数： | 279 次 |
| 本月下载数： | 3 次 |
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