武警医学2025,Vol.36Issue(8):645-649,5.
临床药师参与胰腺切除术后的药学监护实践
Pharmaceutical care of patients after splenectomy under different surgical methods
摘要
Abstract
Objective To explore the key points of pharmaceutical care for patients after splenectomy under different surgi-cal methods,and to provide useful reference information for clinical practice.Methods Based on the differences of the range of or-gan resection,reconstruction methods of the digestive tract,and incidence of postoperative complications of different pancreatic surgi-cal methods,Clinical pharmacists selected three typical patients who had pancreatic fistula,abdominal infection,and blood glucose disorders after pancreaticoduodenectomy,distal pancreatectomy,and total pancreatectomy.By monitoring the amylase and drainage volume of the drainage fluid,postoperative pancreatic fistula could be treated.Attention was paid to the changes in various infection indicators and microbial culture results to adjust the anti-infection plan.Postoperative blood glucose changes were monitored and ap-propriate medication was given in a timely manner.The pharmaceutical care practice was combined with relevant literature to extract and analyze the key points of postoperative care under different surgical methods by combining.Results After pharmaceutical care by clinical pharmacists,the patient's postoperative complications were controlled,and they were discharged in good condition.Con-clusions Clinical pharmacists should should care patients after pancreatic surgery based on the surgical methods to improve the ef-fectiveness and safety of treatment.关键词
胰腺肿瘤/腹腔感染/脾脏切除/血糖紊乱/药学监护Key words
pancreatic tumors/abdominal infection/splenectomy/abnormal blood sugar/pharmaceutical care分类
医药卫生引用本文复制引用
王春玲,闪雪纯,王卓,金钢,郑楷炼,丁楠..临床药师参与胰腺切除术后的药学监护实践[J].武警医学,2025,36(8):645-649,5.基金项目
国家自然科学基金资助项目(82300017) (82300017)