| 摘要: |
| 目的：探讨临床药师在肺栓塞患者治疗过程中进行药学监护的模式。方法：临床药师参与1例肺栓塞合并食管癌患者的治疗过程，协助临床制定药物治疗方案，开展相应的药学监护措施。结果：患者在治疗过程中有华法林抵抗发生，临床药师对其可能原因进行分析，提高抗凝治疗的有效性和安全性。结论：临床药师应从个体化用药出发，通过用药监护和宣教，促进合理用药。 |
| 关键词: 临床药师 药学监护 华法林抵抗 |
| DOI：doi:10.13407/j.cnki.jpp.1672-108X.2016.03.013 |
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| 基金项目: |
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| An Experience on Anticoagulant Therapy for a Patient with Pulmonary Embolism and Esophageal Cancer |
| Li Jing, Cao Yuan, Si Jigang |
| (Zibo Central Hospital of Shandong Province, Shandong Zibo 255036, China) |
| Abstract: |
| Objective: To investigate the mode of pharmaceutical care carried out by clinical pharmacists for patients of pulmonary embolism. Methods: The clinical pharmacist participated in the treatment of one case with pulmonary embolism and esophageal cancer, assisted to make therapeutic schemes, promoted pharmaceutical care. Results: The clinical pharmacist analyzed the causes of warfarin resistance, improved the efficacy and safety of anticoagulant treatment. Conclusion: The clinical pharmacists should participate in individualized programs, carry out pharmaceutical care and publicizing，promoting the rational drug use. |
| Key words: Clinical pharmacist Pharmaceutical care Warfarin resistance |
