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临床重症与药学超说明书用药专家共识 2020

2020-05-05 广东省药学会 广东药学会

临床重症

各医疗机构：

中文标题：

临床重症与药学超说明书用药专家共识 2020

发布机构：

广东省药学会

发布日期：

2020-05-05

简要介绍：

各医疗机构：

药物治疗是抢救重症患者必不可少的重要治疗手段。而重症患者是一个特殊群体，疾病谱涉及多个学科，病情危重复杂，常合并多器官功能损害，甚至需要使用体外生命支持设备。上述多种复杂因素均导致重症患者体内药物的分布、代谢、治疗反应等与普通患者之间存在较大差异。临床上许多药品说明书的用法及用量依据主要来自于以普通患者为主要研究对象的药物临床试验。在重症患者治疗时按照普通患者的用药方式进行治疗，常常难以保证疗效，因此，重症患者抢救中超说明书用药是常见的。

为向重症医学科提供超说明书用药参考，本会组织专家制定了《临床重症与药学超说明书用药专家共识》。各单位在执行过程中遇到任何问题，请及时向本会反映。

联系地址：广州市东风东路753号东塔701房 广东省药学会 510080

联系电话：（020）37886326,37886321     传    真：37886330

电子邮箱：gdsyxh45@126.com

网    址：http://www.sinopharmacy.com.cn

 

附件1

《临床重症与药学超说明书用药专家共识》起草专家组

 

顾问：

    

管向东

中山大学附属第一医院

主任医师，教授

黎毅敏

广州医科大学附属第一医院

主任医师，教授

陈孝

中山大学附属第一医院

主任药师，教授

执笔：

    

陈敏英

中山大学附属第一医院

主任医师

刘紫锰

中山大学附属第一医院

副主任医师

成员（按姓氏笔划排序）：

  

尹海燕

暨南大学附属第一医院

主任医师

伍俊妍

中山大学孙逸仙纪念医院

主任药师

刘晓青

广州医科大学附属第一医院

主任医师

何清

中山大学孙逸仙纪念医院

副主任医师

陈杰

中山大学附属第一医院

副主任药师

陈娟

中山大学附属第一医院

主任医师

郑志华

广东省药学会

主任药师

易慧敏

中山大学附属第三医院

主任医师

曾军

广州市第一人民医院

主任医师

曾英彤

广东省人民医院

主任药师

魏理

广州医科大学附属第一医院

主任药师

相关资料下载：
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传&nbsp;&nbsp;&nbsp; 真：37886330</p> <p>电子邮箱：gdsyxh45@126.com</p> <p>网&nbsp;&nbsp;&nbsp; 址：http://www.sinopharmacy.com.cn</p> <p>&nbsp;</p> <p>附件1</p> <p>《临床重症与药学超说明书用药专家共识》起草专家组</p> <p>&nbsp;</p> <table width="601" cellspacing="0" cellpadding="0"> <tbody> <tr class="firstRow"> <td nowrap="nowrap" width="104" height="25"> <p><strong><span style="color: black;">顾问：</span></strong></p> </td> <td nowrap="nowrap" width="332" height="25">&nbsp;</td> <td nowrap="nowrap" width="165" height="25">&nbsp;</td> </tr> <tr> <td nowrap="nowrap" width="104" height="25"> <p><span style="color: black;">管向东</span></p> </td> <td nowrap="nowrap" width="332" height="25"> <p><span style="color: black;">中山大学附属第一医院</span></p> </td> <td nowrap="nowrap" width="165" height="25"> <p><span style="color: black;">主任医师，教授</span></p> </td> </tr> <tr> <td nowrap="nowrap" width="104" height="25"> <p><span style="color: black;">黎毅敏</span></p> </td> <td nowrap="nowrap" width="332" height="25"> <p><span style="color: black;">广州医科大学附属第一医院</span></p> </td> <td nowrap="nowrap" width="165" height="25"> <p><span style="color: black;">主任医师，教授</span></p> </td> </tr> <tr> <td nowrap="nowrap" width="104" height="25"> <p><span style="color: black;">陈孝</span></p> </td> <td nowrap="nowrap" width="332" height="25"> <p><span style="color: black;">中山大学附属第一医院</span></p> </td> <td nowrap="nowrap" width="165" height="25"> <p><span style="color: black;">主任药师，教授</span></p> </td> </tr> <tr> <td nowrap="nowrap" width="104" height="25"> <p><strong><span style="color: black;">执笔：</span></strong></p> </td> <td nowrap="nowrap" width="332" height="25">&nbsp;</td> <td nowrap="nowrap" width="165" height="25">&nbsp;</td> </tr> <tr> <td nowrap="nowrap" width="104" height="25"> <p><span style="color: black;">陈敏英</span></p> </td> <td nowrap="nowrap" width="332" height="25"> <p><span style="color: black;">中山大学附属第一医院</span></p> </td> <td nowrap="nowrap" width="165" height="25"> <p><span style="color: black;">主任医师</span></p> </td> </tr> <tr> <td nowrap="nowrap" width="104" height="25"> <p><span style="color: black;">刘紫锰</span></p> </td> <td nowrap="nowrap" width="332" height="25"> <p><span style="color: black;">中山大学附属第一医院</span></p> </td> <td nowrap="nowrap" width="165" height="25"> <p><span style="color: black;">副主任医师</span></p> </td> </tr> <tr> <td colspan="2" nowrap="nowrap" width="436" height="25"> <p><strong><span style="color: black;">成员（按姓氏笔划排序）：</span></strong></p> </td> <td nowrap="nowrap" width="165" height="25">&nbsp;</td> </tr> <tr> <td nowrap="nowrap" width="104" height="25"> <p><span style="color: black;">尹海燕</span></p> </td> <td nowrap="nowrap" width="332" height="25"> <p><span style="color: black;">暨南大学附属第一医院</span></p> </td> <td nowrap="nowrap" width="165" height="25"> <p><span style="color: black;">主任医师</span></p> </td> </tr> <tr> <td nowrap="nowrap" width="104" height="25"> <p><span style="color: black;">伍俊妍</span></p> </td> <td nowrap="nowrap" width="332" height="25"> <p><span style="color: black;">中山大学孙逸仙纪念医院</span></p> </td> <td nowrap="nowrap" width="165" height="25"> <p><span style="color: black;">主任药师</span></p> </td> </tr> <tr> <td nowrap="nowrap" width="104" height="25"> <p><span style="color: black;">刘晓青</span></p> </td> <td nowrap="nowrap" width="332" height="25"> <p><span style="color: black;">广州医科大学附属第一医院</span></p> </td> <td nowrap="nowrap" width="165" height="25"> <p><span style="color: black;">主任医师</span></p> </td> </tr> <tr> <td nowrap="nowrap" width="104" height="25"> <p><span style="color: black;">何清</span></p> </td> <td nowrap="nowrap" width="332" height="25"> <p><span style="color: black;">中山大学孙逸仙纪念医院</span></p> </td> <td nowrap="nowrap" width="165" height="25"> <p><span style="color: black;">副主任医师</span></p> </td> </tr> <tr> <td nowrap="nowrap" width="104" height="25"> <p><span style="color: black;">陈杰</span></p> </td> <td nowrap="nowrap" width="332" height="25"> <p><span style="color: black;">中山大学附属第一医院</span></p> </td> <td nowrap="nowrap" width="165" height="25"> <p><span style="color: black;">副主任药师</span></p> </td> </tr> <tr> <td nowrap="nowrap" width="104" height="25"> <p><span style="color: black;">陈娟</span></p> </td> <td nowrap="nowrap" width="332" height="25"> <p><span style="color: black;">中山大学附属第一医院</span></p> </td> <td nowrap="nowrap" width="165" height="25"> <p><span style="color: black;">主任医师</span></p> </td> </tr> <tr> <td nowrap="nowrap" width="104" height="25"> <p><span style="color: black;">郑志华</span></p> </td> <td nowrap="nowrap" width="332" height="25"> <p><span style="color: black;">广东省药学会</span></p> </td> <td nowrap="nowrap" width="165" height="25"> <p><span style="color: black;">主任药师</span></p> </td> </tr> <tr> <td nowrap="nowrap" width="104" height="25"> <p><span style="color: black;">易慧敏</span></p> </td> <td nowrap="nowrap" width="332" height="25"> <p><span style="color: black;">中山大学附属第三医院</span></p> </td> <td nowrap="nowrap" width="165" height="25"> <p><span style="color: black;">主任医师</span></p> </td> </tr> <tr> <td nowrap="nowrap" width="104" height="25"> <p><span style="color: black;">曾军</span></p> </td> <td nowrap="nowrap" width="332" height="25"> <p><span style="color: black;">广州市第一人民医院</span></p> </td> <td nowrap="nowrap" width="165" height="25"> <p><span style="color: black;">主任医师</span></p> </td> </tr> <tr> <td nowrap="nowrap" width="104" height="25"> <p><span style="color: black;">曾英彤</span></p> </td> <td nowrap="nowrap" width="332" height="25"> <p><span style="color: black;">广东省人民医院</span></p> </td> <td nowrap="nowrap" width="165" height="25"> <p><span style="color: black;">主任药师</span></p> </td> </tr> <tr> <td nowrap="nowrap" width="104" height="25"> <p><span style="color: black;">魏理</span></p> </td> <td nowrap="nowrap" width="332" height="25"> <p><span style="color: black;">广州医科大学附属第一医院</span></p> </td> <td nowrap="nowrap" width="165" height="25"> <p><span style="color: black;">主任药师</span></p> </td> </tr> </tbody> </table>, tagList=[TagDto(tagId=105633, tagName=临床重症)], 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    2022-02-12 一己怀

    学习学习

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1192568, encodeId=35a2119256849, content=学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d25a5516768, createdName=一己怀, createdTime=Sat Feb 12 01:19:37 CST 2022, time=2022-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192567, encodeId=3314119256eed, content=重症超说明书用药，可以作为医疗官司的证据么, beContent=null, objectType=guider, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d25a5516768, createdName=一己怀, createdTime=Sat Feb 12 01:19:26 CST 2022, time=2022-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192566, encodeId=5bef119256639, content=不错，谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d25a5516768, createdName=一己怀, createdTime=Sat Feb 12 01:19:22 CST 2022, time=2022-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949861, encodeId=7b4e9498614b, content=不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9e942479854, createdName=1245671cm96暂无昵称, createdTime=Sun Mar 21 10:16:40 CST 2021, time=2021-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=945159, encodeId=512b9451593a, content=重症超说明书用药，可以作为医疗官司的证据么, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/79128BBE61649129E4A8B78EE0204C70/100, createdBy=d21a2054806, createdName=回忆不曾回忆66, createdTime=Wed Mar 03 15:45:22 CST 2021, time=2021-03-03, status=1, ipAttribution=)]
    2022-02-12 一己怀

    重症超说明书用药，可以作为医疗官司的证据么

    0

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    2022-02-12 一己怀

    不错，谢谢

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1192568, encodeId=35a2119256849, content=学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d25a5516768, createdName=一己怀, createdTime=Sat Feb 12 01:19:37 CST 2022, time=2022-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192567, encodeId=3314119256eed, content=重症超说明书用药，可以作为医疗官司的证据么, beContent=null, objectType=guider, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d25a5516768, createdName=一己怀, createdTime=Sat Feb 12 01:19:26 CST 2022, time=2022-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192566, encodeId=5bef119256639, content=不错，谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d25a5516768, createdName=一己怀, createdTime=Sat Feb 12 01:19:22 CST 2022, time=2022-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949861, encodeId=7b4e9498614b, content=不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9e942479854, createdName=1245671cm96暂无昵称, createdTime=Sun Mar 21 10:16:40 CST 2021, time=2021-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=945159, encodeId=512b9451593a, content=重症超说明书用药，可以作为医疗官司的证据么, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/79128BBE61649129E4A8B78EE0204C70/100, createdBy=d21a2054806, createdName=回忆不曾回忆66, createdTime=Wed Mar 03 15:45:22 CST 2021, time=2021-03-03, status=1, ipAttribution=)]
    2021-03-21 1245671cm96暂无昵称

    不错

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1192568, encodeId=35a2119256849, content=学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d25a5516768, createdName=一己怀, createdTime=Sat Feb 12 01:19:37 CST 2022, time=2022-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192567, encodeId=3314119256eed, content=重症超说明书用药，可以作为医疗官司的证据么, beContent=null, objectType=guider, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d25a5516768, createdName=一己怀, createdTime=Sat Feb 12 01:19:26 CST 2022, time=2022-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192566, encodeId=5bef119256639, content=不错，谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d25a5516768, createdName=一己怀, createdTime=Sat Feb 12 01:19:22 CST 2022, time=2022-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=949861, encodeId=7b4e9498614b, content=不错, beContent=null, objectType=guider, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9e942479854, createdName=1245671cm96暂无昵称, createdTime=Sun Mar 21 10:16:40 CST 2021, time=2021-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=945159, encodeId=512b9451593a, content=重症超说明书用药，可以作为医疗官司的证据么, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/79128BBE61649129E4A8B78EE0204C70/100, createdBy=d21a2054806, createdName=回忆不曾回忆66, createdTime=Wed Mar 03 15:45:22 CST 2021, time=2021-03-03, status=1, ipAttribution=)]
    2021-03-03 回忆不曾回忆66

    重症超说明书用药，可以作为医疗官司的证据么

    0

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