1例肺炎并发急性脓胸患者的病例分析

摘 要 目的：探讨1例由肺炎引起的急性脓胸患者抗菌药物使用、镇痛药选择以及胸腔内纤溶治疗的合理性。 方法: 临床药师参与1例肺炎并发急性脓胸患者的药物治疗方案分析与调整，充分考虑患者感染症状、体征的变化、疼痛耐受程度以及胸腔积液的性质，提出自己的观点，建议医师选用或停用相关药物，推荐合理化的治疗方案。 结果: 临床药师协助医师制订最佳用药方案，使患者得到及时、有效的治疗。结论:临床药师应发挥自身优势，积极帮助医生解决实际问题，做到个体化用药。

Case Analysis of One Patient with Pneumonia Complicated with Acute Empyema

ABSTRACT Objective: To discuss the rationality of antimicrobial drug use, analgesics choice and intrapleural fibrinolytic therapy for one pneumonia patient complicated with acute empyema. Methods:Clinic pharmacist participated in analyzing and adjusting the treatment for the patient with acute empyema. Giving full consideration to the infection symptoms, changes of signs, pain tolerance and pleural effusion properties, clinical pharmacist proposed own viewpoints, suggested physicians use or withdraw related drugs and recommended the rational treatment plan. Results:Clinic pharmacist cooperated with physicians to perform the best regimen resulting in timely and effective treatment for the patient. Conclusion:Clinical pharmacist should take full advantages and cooperate well with clinicians to provide individualized pharmaceutical care for patients and promote clinical rational drug use.