临床药师参与1例川崎病患儿治疗的药学监护

张　伟(九江市妇幼保健院药剂科，江西 九江　332000)



临床药师参与1例川崎病患儿治疗的药学监护

张伟*(九江市妇幼保健院药剂科，江西 九江332000)

DOI10.14009/j.issn.1672-2124.2016.01.046

摘要目的：探讨临床药师在小儿川崎病治疗中的作用。方法：介绍临床药师参与小儿川崎病的具体药物治疗过程，并为患儿建立药历，提供合理的药学服务。结果：临床药师通过全程药学监护，及时发现并解决相关药物治疗问题，为临床提供合理建议，提高了患儿用药的依从性 结论：临床药师参与临床药物治疗实践，有利于提高临床药物治疗水平。

关键词临床药师； 川崎病； 药学监护

Clinical Pharmacists’ Participation in Pharmaceutical Care with Treatment of One Child with Kawasaki Disease

ZHANG Wei(Dept.of Pharmacy, Jiujiang Maternal and Child Health Hospital, Jiangxi Jiujiang 332000, China)

ABSTRACTOBJECTIVE：To explore the role of clinical pharmacists in clinical treatment for one child with kawasaki disease. METHODS: To introduce the specific process of drug therapy participated by the clinical pharmacists for the child with kawasaki disease, and the drug records were established for the patient, rational pharmaceutical care was provided. RESULTS: By monitoring the whole process of pharmaceutical care, the clinical pharmacists discovered and solved problems about the related drug therapy in time, provided rational suggestions for the clinic, and improve compliance of medication for the child. CONCLUSIONS: Clinical pharmacists’ participation in clinical drug therapy practice can significantly improve the clinical medical treatment level.

KEYWORDSClinical pharmacists; Kawasaki disease; Pharmaceutical care

川崎病又称皮肤黏膜淋巴结综合征，于1967年由日本川崎富作首先报告，约15%～20%未经治疗的患儿发生冠状动脉损害。该病呈散发或小流行，四季均可发病。发病年龄以婴幼儿多见，80%在5岁以下。男性与女性的比例为1.5∶1[1]。现对2015年九江市妇幼保健院(以下简称“我院”)1例川崎病患儿的全程药学监护过程及用药教育的相关内容报告如下。

1病例资料

某患儿，女性，8个月23 d，体质量10 kg，因“发热3 d”入院，3 d前无明显诱因出现发热，体温最高40 ℃，无明显咳嗽、腹痛、腹泻、抽搐等不适。患儿得病后，在当地医院给予静脉滴注“阿莫西林/克拉维酸钾、炎琥宁”治疗3 d，效果欠佳，仍有发热。入院查体：体温39.9 ℃，脉搏128次/min，呼吸26次/min，右侧颈部可触及数个绿豆-黄豆大小的肿大淋巴结，活动度尚可，口唇红润，舌面乳头凸起，咽充血，双肺呼吸音粗糙，未闻及干、湿性啰音。自起病来，精神食纳欠佳，大小便正常，入院诊断：黏膜皮肤淋巴结综合征(川崎病)。……