2019冠状病毒病合并脑卒中患者的合理用药及药学服务

Jun Zhang Bei Zeng Fang Zhang Yu Liu YiHui Chen
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引用次数: 0

摘要

冠状病毒病(COVID-19)患者病情特别重,常伴有d -原激素升高,易诱发或加重缺血性脑卒中的发生。两种疾病在病史早期均有类似的头痛、呕吐、发热、气短等症状,容易误诊、漏诊、相互影响,导致病程延长。对于COVID-19患者,应尽快积极采取抗蛇毒血清治疗,结合脑卒中患者,密切监测d - diameter指标变化,根据其指标给予患者适当的抗血栓治疗,一旦d - diameter升高,建议立即开始抗凝,同时控制患者的血压、血脂等高危因素。本文结合脑卒中相关用药研究,探讨COVID-19合并脑卒中等高危人群的合理用药策略及药理护理,为该类患者合理用药提供参考。
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Rational use of drug and pharmaceutical care in patients with coronavirus disease 2019 combined with stroke
Coronavirus disease 2019 (COVID-19) patients are particularly critically ill, often accompanied by D-djurogen elevation, easy to induce or aggravate the occurrence of ischemic stroke. Both diseases have similar symptoms such as headache, vomiting, fever and shortness of breath in the early stages of their medical history, which can easily lead to misdiagnosis, missed diagnosis, and mutual influence, resulting in prolonged course of illness. For patients with COVID-19, anti-venom treatment should be actively taken as soon as possible, combined with stroke patients, the indicator change of D-diamer should be closely monitored, according to its indicators to give patients appropriate anti-thrombosis treatment, once the D-diamer rises, it is recommended to start anticoagulant immediately, while controlling the patient's blood pressure lipids and other high-risk factors. In this paper, combined with the research on stroke-related drug use, this paper discusses the rational drug use strategy and pharmacological care of high-risk groups such as COVID-19 combined with stroke, and provides reasonable drug use reference for such patients.
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