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临床药师对先天性膈疝合并肺动脉高压患儿围术期应用血管活性药物和镇痛镇静药物的药学监护分析
周佳,谢伟
0
(上海交通大学医学院附属新华医院,上海 200092)
摘要:
[摘要] 目的:探讨临床药师在小儿外科重症监护病房1例先天性膈疝合并肺动脉高压患儿术前维持生命体征稳定治疗过程中 所发挥的作用。方法:通过对该患儿治疗过程的分析,从血管活性药物和镇痛镇静药物的选用等角度讨论此类患儿围手术期药 学监护的思路及专业要点。结果:药师通过对患儿前期治疗方案进行回顾性分析,结合当前病情为后续药物治疗方案提供药学 查房建议,协助临床梳理了血管活性药物及镇痛镇静药物在该病种中的选用思路,提高了药物治疗水平。结论:临床药师是小 儿重症治疗团队中的重要成员之一,通过积极参与重症患儿药物治疗过程,可以协助提高临床危重症药物选用水平。
关键词:  先天性膈疝  肺动脉高压  血管活性药物  镇痛镇静  临床药学
DOI:doi:10.13407/j.cnki.jpp.1672-108X.2018.04.014
基金项目:
Pharmaceutical Care of Vasoactive Drugs and Analgesic Sedation in Children with CongenitalDiaphragmatic Hernia and Pulmonary Hypertension
Zhou Jia, Xie Wei
(Xinhua Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200092, China)
Abstract:
[Abstract] Objective: To explore the role of clinical pharmacists in the maintenance of vital signs in children with congenital diaphragmatic hernia and pulmonary hypertension in pediatric surgical intensive care unit. Methods: Through the analysis of the treatment process to find out how to provide pharmaceutical care for children with congenital diaphragmatic hernia and pulmonary hypertension from the point of vasoactive drugs and analgesic sedative drugs during preoperative periods. Results: The pharmacists provided a retrospective analysis of the treatment process and then provided pharmacotherapy advice concerning vasoactive drugs and analgesic sedative drugs, and improved the level of drug usage. Conclusion: Clinical pharmacist is one of the important members of the pediatric intensive care team. It can help improving the selection level of critically ill drugs by actively participating in the drug treatment process of children with severe disease.
Key words:  congenital diaphragmatic hernia  pulmonary hypertension  vasoactive drugs  analgesic sedation  clinical pharmacy

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