1例胺碘酮引起甲状腺功能减退的病例分析

目的 通过对1例胺碘酮引起甲状腺功能减退（甲减）的病例分析，探讨开展药学监护的方法和思路。方法 临床药师参与1例心房纤颤并发甲减患者的治疗过程，通过查阅文献资料，并结合患者病情、病史、用药史及相关检查结果，分析患者甲减与长期应用胺碘酮的相关性。结果 临床药师认为该患者的甲减主要是由于其长期应用胺碘酮所致。结论 临床药师在药学监护中应与临床医师密切合作，积极发挥职业敏感性，及时发现并解决药物相关性问题，为临床治疗提供更好的药学服务。

Case study on a patient with hypothyroidism induced by amiodarone

Objective To explore the methods and ideas of pharmaceutical care by analyzing a case of amiodarone induced hypothyroidism. Methods Through participating in the treatment for an atrial fibrillation case with hypothyroidism, the cause of hypothyroidism was analyzed by literature searching, patient''s clinical and medication history review and other related examinations. Results Clinical pharmacists proposed that the patient''s hypothyroidism was due to the long-term use of amiodarone. Conclusion Clinical pharmacists worked closely with physicians to provide rational medication treatment, improve therapeutic efficacy and reduce adverse drug reactions.