2型糖尿病并肺脓肿、脓胸患者1例的用药思考

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[摘要]1例2型糖尿病并肺脓肿、脓胸患者经初始抗感染治疗后病情加重。临床药师参与其抗感染治疗方案的调整后又继发了肾功能损害,临床药师再次参与了其抗感染治疗方案的调整,并对其实施药学监护,患者病情好转出院。通过学习和总结此类疾病的发生特点、治疗和用药监护要点,为临床合理用药提供参考。[关键词]2型糖尿病;肺脓肿;脓胸;药学监护;抗感染治疗

[中图分类号] R97  [文献标识码] A   [文章编号]2095-0616(2022)20-0185-04

Medication consideration on a patient with T2DM complicated with lung abscess and pleural empyema

HU  Yanfen1      XIONG  Chunyan2      LI  Zhengfu1

1. Department of Pharmacy, the First People’s Hospital of Zhaotong, Yunnan, Zhaotong 657000, China;2. Department of Respiratory Medicine, the First People’s Hospital of Zhaotong, Yunnan, Zhaotong 657000, China

[Abstract] This paper reviews a patient with type 2 diabetes mellitus (T2DM) complicated with pulmonary abscess and pleural empyema whose condition worsened after initial anti-infective treatment. Secondary renal impairment occurred after the first adjustment of anti-infective treatment regimen with the participation of the clinical pharmacist.And after the second adjustment of anti-infective treatment regimen with the participation of clinical pharmacistsas well as the implementation of pharmacological monitoring, the patient got better and was discharged. Based on the comprehensive awareness of the characteristics of the occurrence, treatment and medication monitoring points of such disease, the clinical practitioners will summarize the treatment experience so as to provide reference for rational medication.

[Key words] Type 2 diabetes mellitus; Lung abscess; Pleural empyema; Pharmacological monitoring; Anti- infective treatment

糖尿病是一组由多种原因导致的、以高血糖为特征的慢性代谢性疾病,糖尿病患者因免疫受损易并发各种感染,其中肺炎较为多见,部分可合并肺脓肿[1]。(剩余6732字)

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