临床药师在朱砂外用致汞中毒诊治中的作用

目的：探讨临床药师在药物致中毒诊治中的作用。方法：在外用朱砂致汞中毒患者救治中，临床药师结合患者症状和用药史，为医师提供朱砂成分信息，并提出检查尿汞浓度的建议，为及早诊断提供依据，诊断明确后参与治疗方案的设计并开展用药监护。结果：急查患者尿汞浓度超标，经驱汞、保肝等治疗后，尿汞浓度降至正常，病情明显好转。结论：临床药师能够在药物中毒救治中提供药品信息、参与制定药物治疗方案和开展药学监护。

The role of clinical pharmacists in the diagnosis and treatment of mercury poisoning caused by the topical use of cinnabar

Objective:To explore the role of clinical pharmacists in the diagnosis and treatment of drug poisoning. Methods:According to the symptoms and medication history of the patient with mercury poisoning caused by topical use of cinnabar, clinical pharmacists provided some vermilion composition information for physicians and the basis for early diagnosis, and recommended to check the urinary mercury concentration and participated in the design of the treatment plan and carry out medication supervision after the clear diagnosis. Results:The concentration of acute urinary mercury in the patient exceeded the standard, however, it decreased to the normal level after the treatment of eliminating mercury and protecting liver and the condition was significantly improved. Conclusion: Clinical pharmacists can provide drug information for physicians in the treatment of drug poisoning, participate in making drug treatment plan and carry out pharmaceutical care.