2型糖尿病并肺膿腫、膿胸患者1例的用藥思考

[摘要]1例2型糖尿病并肺膿腫、膿胸患者經(jīng)初始抗感染治療后病情加重。臨床藥師參與其抗感染治療方案的調(diào)整后又繼發(fā)了腎功能損害，臨床藥師再次參與了其抗感染治療方案的調(diào)整，并對(duì)其實(shí)施藥學(xué)監(jiān)護(hù)，患者病情好轉(zhuǎn)出院。通過學(xué)習(xí)和總結(jié)此類疾病的發(fā)生特點(diǎn)、治療和用藥監(jiān)護(hù)要點(diǎn)，為臨床合理用藥提供參考。[關(guān)鍵詞]2型糖尿??；肺膿腫；膿胸；藥學(xué)監(jiān)護(hù)；抗感染治療

[中圖分類號(hào)] R97  [文獻(xiàn)標(biāo)識(shí)碼] A   [文章編號(hào)]2095-0616（2022）20-0185-04

Medication consideration on a patient with T2DM complicated with lung abscess and pleural empyema

HU  Yanfen1      XIONG  Chunyan2      LI  Zhengfu1

1. Department of Pharmacy， the First People’s Hospital of Zhaotong， Yunnan， Zhaotong 657000， China;2. Department of Respiratory Medicine， the First People’s Hospital of Zhaotong， Yunnan， Zhaotong 657000， China

[Abstract] This paper reviews a patient with type 2 diabetes mellitus （T2DM） complicated with pulmonary abscess and pleural empyema whose condition worsened after initial anti-infective treatment. Secondary renal impairment occurred after the first adjustment of anti-infective treatment regimen with the participation of the clinical pharmacist.And after the second adjustment of anti-infective treatment regimen with the participation of clinical pharmacistsas well as the implementation of pharmacological monitoring， the patient got better and was discharged. Based on the comprehensive awareness of the characteristics of the occurrence， treatment and medication monitoring points of such disease， the clinical practitioners will summarize the treatment experience so as to provide reference for rational medication.

[Key words] Type 2 diabetes mellitus; Lung abscess; Pleural empyema; Pharmacological monitoring; Anti- infective treatment

糖尿病是一組由多種原因?qū)е碌?、以高血糖為特征的慢性代謝性疾病，糖尿病患者因免疫受損易并發(fā)各種感染，其中肺炎較為多見，部分可合并肺膿腫[1]。（剩余6732字）