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目的:探讨临床药师进行SOAP模式药学会诊中的思维训练与经验积累过程。方法:对1例食管癌术后鲍曼不动杆菌肺炎患者进行病情变化评估,3次受邀会诊,建议药物治疗方案,监护药物治疗结果,连续1个月主动追踪并回访患者的病情转归结果。结果:鲍曼不动杆菌的初始判断与经验治疗后,感染有所好转,随着病情变化,及时调整治疗方案,依据病情和感染严重程度给予最适当的药物治疗方案,感染有效控制,术后治疗35 d出院。结论:临床药师会诊应首先判断病情,对前期治疗结果进行总结评估,再针对PK/PD特点选择药物,并不断追踪治疗结果,才能准确评估病情,做到个体化给药。
Objective: To explore the process of thought training and experience accumulation of clinical pharmacists in SOAP-based pharmacy consultation. Methods: One case of Acinetobacter baumannii pneumonia after esophagectomy was assessed for disease status, three times of consultation, drug treatment and monitoring of drug treatment were performed. One month follow-up and follow-up visit result. Results: After the initial judgment and experience of Acinetobacter baumannii, the infection was improved. With the change of the disease, the treatment regimen was adjusted in time. The most appropriate drug treatment was given according to the severity of the disease and the infection. The infection was effectively controlled. After the operation Treatment 35 d discharged. Conclusion: The clinical pharmacist consultation should first judge the condition, summarize the results of the previous treatment, select the drugs according to the characteristics of PK / PD, and keep track of the outcome of the treatment so as to accurately evaluate the condition and achieve individualized administration.