去氨加压素治疗咯血引起少尿的病例分析

发布时间：2018-08-09 13:37

【摘要】：目的:探讨呼吸内科临床药师参与药物治疗方案的制订与实施药学监护的方法。方法:临床药师参与呼吸内科1例侵袭性肺曲霉菌病并大咯血的治疗过程中,建议去氨加压素替代垂体后叶素用于大咯血的治疗并实施药学监护,分析去氨加压素用于治疗咯血的依据和导致患者出现少尿的原因及治疗。结果:临床药师的建议被采纳,患者的咯血症状明显好转,病情得到有效控制。去氨加压素引起患者尿量减少后给予呋塞米对抗治疗,尿量恢复正常。结论:去氨加压素可以作为垂体后叶素治疗大咯血的替代药物,短时间内引起少尿,出现此情况后可以应用袢利尿剂加以纠正。
[Abstract]:Objective: to explore the method of pharmaceutical monitoring for clinical pharmacists in respiratory medicine department. Methods: clinical pharmacists participated in the treatment of invasive pulmonary aspergillosis with massive hemoptysis in a case of respiratory medicine. It was suggested that desmopressin should be used instead of pituitrin in the treatment of massive hemoptysis and pharmacological monitoring should be carried out. To analyze the basis of deaminopressin in the treatment of hemoptysis and the causes and treatment of oliguria in patients. Results: the clinical pharmacist's suggestion was adopted, the patient's hemoptysis symptom obviously improved, the condition was effectively controlled. The urine volume returned to normal after treatment with furosemide. Conclusion: desaminopressin can be used as a substitute for hypophysin in the treatment of massive hemoptysis, which can cause oliguria in a short time, and can be corrected by loop diuretic.
【作者单位】：山东大学药学院;枣庄市立医院药学部;南方医科大学南方医院药学部;
【分类号】：R56

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