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报道1例多重用药合并肾功能不全患者骨科围术期用药方案优化及药学监护的病例。患者,男性,81岁,因“外伤后腰部疼痛伴活动受限4 d”入院。入院诊断为腰椎骨折(L1)、冠状动脉粥样硬化性心脏病、心脏起搏器状态、冠状动脉支架植入术后状态、心房颤动、糖尿病、严重骨质疏松、慢性肾功能不全。既往口服药物有沙库巴曲缬沙坦、艾多沙班、达格列净、阿卡波糖。临床药师根据诊断,结合患者慢性病用药及自身情况给予骨科临床医师围术期用药方案建议及药学监护,入院3 d后患者行经皮穿刺球囊扩张式椎体后凸成型术。患者围术期生命体征平稳,无不适主诉,予出院。
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基本信息:
DOI:10.19577/j.1007-4406.2024.02.014
中图分类号:R969
引用信息:
[1]武丹威,韩爽,毛璐,等.1例多重用药合并肾功能不全患者骨科围术期用药方案优化及药学监护[J].中国临床药学杂志,2024,33(02):153-156.DOI:10.19577/j.1007-4406.2024.02.014.
基金信息:
首都卫生发展科研专项(编号2024-2-2077)
2024-02-25
2024-02-25