1.Clinical analysis of breast carcinoma by improvement radical correction in retention intercostobrachial nerves
Jiudong XU ; Guobin FENG ; Lei LEI
Chinese Journal of Primary Medicine and Pharmacy 2012;19(9):1325-1327
Objective To explore clinical result of breast carcinoma by improvement radical correction in retention intercostobrachial nerves.Methods The clinical data of breast carcinoma in our hospital were analyzed,which were divided into detection group and control group.Results The operation time,hemorrhage of operation in detection group were lower than control group,the upper limb decreased,skin stabbing pain and relapse rate were higher than control group (P < 0.05 ),the difference were statistically significant.Conclusion The clinical result is obvious,the prognosis is good.It's worthy of clinical application.
2.Pharmacological Care in Patient with Focal Segmental Glomerulosclerosis Treated with Rituximab
Caipeng XIE ; Min TAN ; Qianqian XU ; Shaozhen HUANG ; Jiudong MA ; Kun TANG
Herald of Medicine 2024;43(8):1326-1331
Objective This article reported the treatment process and pharmaceutical monitoring points of a 73 year old patient with latent tuberculosis and positive hepatitis B core antibody,whose focal segmental glomerulosclerosis(FSGS)was trea-ted with cyclosporine and rituximab instead of glucocorticoids because of gastrointestinal ulcer.Methods Clinical pharmacist participated in the treatment process of immunosuppressive therapy,infection prevention,and complications management of ne-phrotic syndrome,and then conducted pharmaceutical monitoring.Results The patient's nephrotic syndrome was relieved,and the urine protein decreased from around 8 g to below 1 g,indicating good disease control.Conclusion The combination of rituximab and cyclosporine could achieve in partial or nearly complete relief of nephrotic syndrome.For patients with latent tuber-culosis and hepatitis B core antibody positive,attention should be paid to the prevention of infection when using immunosuppres-sants such as monoclonal antibody.As patients with nephrotic syndrome were treated with multiple medications,drug interactions and concentrations monitoring should be focused on when using cyclosporine,as well as regular follow-up of patients and guarding against adverse reactions including renal dysfunction and infection.The participation of clinical pharmacists in the clinical therapy was of great significance,which ensured the effectiveness of disease treatment and medication safety.