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目的:浅谈临床药师对冠状动脉旁路移植术(coronary artery bypass graft,CABG)后合并感染患者使用抗菌药物的监护体会。方法:临床药师参与1例CABG术后患者治疗,根据患者的相关检验指标、感染情况,结合患者生命体征变化制定和调整抗感染药物方案,关注药物疗效与不良反应。结果:通过临床药师的医学服务,如该患者在术后抗感染方面提供安全、优质的个体化药学服务。结论:通过以上临床实践,临床药师对心外科患者术后抗感染药物的合理应用起到了积极的促进作用。
Objective: To discuss the clinical experience of clinical pharmacists using antimicrobials in patients with infection after coronary artery bypass graft (CABG). Methods: Clinical pharmacists were involved in the treatment of one patient after CABG surgery. According to the relevant test indicators and infection of patients, the anti-infective drug regimen was formulated and adjusted according to the changes of patients’ vital signs, and the drug efficacy and adverse reactions were concerned. Results: The clinical pharmacist’s medical services provided the patient with a safe, high-quality, personalized pharmacy service in terms of postoperative anti-infectives. Conclusion: Through the above clinical practice, clinical pharmacists have played a positive role in the rational application of postoperative anti-infective drugs in cardiac surgery patients.