目的:为临床抗血小板治疗致胃溃疡患者的药学监护及处理方法提供参考。方法:临床药师参与1例脑卒中急性期患者抗血小板治疗的药学监护,通过药物重整和患者教育的方式,在抗血小板治疗、降压、护胃等方面提出药学建议。结果:患者胃出血得到控制,血压控制在目标值以内。结论:临床药师通过对患者的用药监护,保证患者的用药安全性,提高患者用药依从性,从而提高临床治疗的效果。 Objective: To provide a reference for the pharmacological care and treatment of patients with gastric ulcer caused by clinical antiplatelet therapy. Methods: Clinical pharmacists participated in one case of antiplatelet therapy in patients with acute stroke. Pharmacological recommendations were given in the aspects of antiplatelet therapy, antihypertensive treatment and stomach protection through drug reforming and patient education. Results: Patients with gastric haemorrhage under control, blood pressure control within the target value. Conclusion: The clinical pharmacist improves the clinical effect of the treatment by ensuring the medication safety of the patient, improving the medication compliance of the patients and improving the medication compliance of the patients.