| 引用本文: | 杭永付,沈艳萍,朱旭婷,徐德宇,谢诚,沈蕾,沙文刚,周玲,杨静.碳酸镧咀嚼片引起便秘及腹部影像学异常的病例分析[J].中国现代应用药学,2019,36(9):1134-1136. |
| HANG Yongfu,SHEN Yanping,ZHU Xuting,XU Deyu,XIE Cheng,SHEN Lei,SHA Wengang,ZHOU Ling,YANG Jing.Unusual Abdominal Film Associated with Inappropriate Use of Lanthanum Carbonatein Chewable Tablet: A Clinical Analysis[J].Chin J Mod Appl Pharm(中国现代应用药学),2019,36(9):1134-1136. |
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| 碳酸镧咀嚼片引起便秘及腹部影像学异常的病例分析 |
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杭永付1, 沈艳萍2, 朱旭婷3, 徐德宇2, 谢诚1, 沈蕾2, 沙文刚2, 周玲2, 杨静2
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1.苏州大学附属第一医院 药学部, 江苏 苏州 215006;2.苏州大学附属第一医院 肾内科, 江苏 苏州 215006;3.无锡市第三人民医院药学部, 江苏 无锡 214041
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| 摘要: |
| 目的 为临床合理使用碳酸镧咀嚼片出现影像学异常提供分析参考。方法 通过对1例CKD5期高磷血症患者使用碳酸镧咀嚼片引起便秘和影像学异常的病例进行分析，药师协助临床查找原因，并对患者进行用药指导和监护随访。结果 经过分析，影像学异常为患者错误服用碳酸镧引起的影像学表现，经过通便处理，影像学恢复正常，临床药师由此制定了碳酸镧咀嚼片的使用监护流程，保证了患者的安全正确用药。结论 临床药师对使用碳酸镧咀嚼片的患者进行详细的用药指导和持续随访，可促进患者正确用药。 |
| 关键词: 碳酸镧 腹部X片 高磷血症 用药错误 |
| DOI：10.13748/j.cnki.issn1007-7693.2019.09.021 |
| 分类号:R969.3 |
| 基金项目: |
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| Unusual Abdominal Film Associated with Inappropriate Use of Lanthanum Carbonatein Chewable Tablet: A Clinical Analysis |
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HANG Yongfu1, SHEN Yanping2, ZHU Xuting3, XU Deyu2, XIE Cheng1, SHEN Lei2, SHA Wengang2, ZHOU Ling2, YANG Jing2
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1.The First Affiliated Hospital of Soochow University, Department of Pharmacy, Suzhou 215006, China;2.The First Affiliated Hospital of Soochow University, Department of Nephrology, Suzhou 215006, China;3.Department of Pharmacy, The Third People's Hospital of Wuxi, Wuxi 214041, China
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| Abstract: |
| OBJECTIVE To provide a reference for the analysis of imaging abnormality in the clinical rational use of lanthanum carbonate chewable tablets. METHODS A case of constipation and imaging abnormality caused by the use of lanthanum carbonate(LC) chewable tablets in a patient with CKD 5 stage hyperphosphatemia was analyzed, and the pharmacist assisted the physician search for the cause, and the patient was given medication guidance and follow-up. RESULTS The mistaken of LC could explain radiopaquematerial on abdominal film well. Repeated radiographs showed that these deposits disappeared after relaxing the bowels. The clinical pharmacist made the flow path of LC using, ensured the right use of patient. CONCLUSION Clinical pharmacist can promote the right use of lanthanum carbonate by making detailed medication instruction and following up. |
| Key words: lanthanum carbonate abdominal X-ray hyperphosphatemia medication error |
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