Abstract: 【Abstract】〓The paper reported pharmaceutical care monitored the medical treatment for a patient with hepatitis B andliver cirrhosis ascites complicating with muscleabscess. Clinical pharmacists advised the powerful and low resistant entecavir astreatment of anti-hepatitis B virus drugand single-agent therapy for a long time. Clinical pharmacists advisedvancomycin was replaced bylinezolid as anti-infection treatment, and drug serum concentration of platelets should be monitoredandadjust the dose and frequency of drug using..These suggestions improved curative effect and reduced the incidence of adverse drug reactions.

Key words: Clinical pharmacists, Hepatitis B and Liver, Cirrhosis ascites, Pharmaceutical care

摘要： 【摘要】〓临床药师参与1例乙肝后肝硬化腹水合并肌脓肿患者的药学监护,提出抗乙肝病毒采用强效和低耐药的恩替卡韦单药长期治疗;患者凝血功能不好,抗感染治疗上将利奈唑胺更换为万古霉素,并监测万古霉素的血药谷浓度,调整给药剂量和频次等用药建议,提高疗效和减少药品不良反应的发生率。

关键词: 药学监护, 肌脓肿, 乙肝后肝硬化腹水, 临床药师