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报道临床药师参与的1例急性髓细胞性白血病合并耶氏肺孢子菌肺炎（PJP）患者的诊疗实践。患者，男性，55岁，因“喘息5 d”入院治疗，入院后确诊为PJP。患者既往患有急性髓细胞性白血病，经过多次化疗后出现弥漫性肺间质纤维化，长期口服甲泼尼龙治疗。由于该患者既往有磺胺类药物过敏史，临床药师在综合评估其病情、免疫状态及治疗风险后，系统检索国内外脱敏治疗相关文献，提出逐步递增的磺胺脱敏治疗方案，并协同临床医师制订具体给药步骤与监测指标。最终脱敏过程顺利，肺炎得到有效控制。
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基本信息:
DOI：10.19577/j.1007-4406.2025.10.013
中图分类号:R519;R733.71;R969
引用信息:
[1]马继敏,杨晶晶,毕晓佳,等.1例急性髓细胞性白血病合并耶氏肺孢子菌肺炎患者的药学实践[J].中国临床药学杂志,2025,34(10):790-792.DOI:10.19577/j.1007-4406.2025.10.013.
基金信息:
昆明市卫生健康委员会卫生科研课题项目（编号2021-13-01-004）