中华护理杂志2024,Vol.59Issue(2) :214-218.DOI:10.3761/j.issn.0254-1769.2024.02.013

5例重度急性呼吸窘迫综合征合并高碳酸血症患者行体外二氧化碳清除治疗的护理

5 patients with severe ARDS complicated with hypercapnia received in vitro carbon dioxide removal therapy

潘陈伟 王文春 陈管洁 李晓青
中华护理杂志2024,Vol.59Issue(2) :214-218.DOI:10.3761/j.issn.0254-1769.2024.02.013

5例重度急性呼吸窘迫综合征合并高碳酸血症患者行体外二氧化碳清除治疗的护理

5 patients with severe ARDS complicated with hypercapnia received in vitro carbon dioxide removal therapy

潘陈伟 1王文春 1陈管洁 1李晓青1
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作者信息

  • 1. 210009 南京市 东南大学附属中大医院重症医学科
  • 折叠

摘要

总结5例重度急性呼吸窘迫综合征合并高碳酸血症患者行体外二氧化碳清除的护理经验.护理要点:组建体外二氧化碳清除快速应急反应小组;实时监测呼气末二氧化碳分压监测装置,把握上机时机;保证体外二氧化碳清除连续性,提高清除效率;呼吸相关监测及护理;并发症的预防及护理;体外二氧化碳清除撤机的护理.经过精心的治疗和护理,5例患者康复出院,1个月后随访患者各项指标恢复良好.

Abstract

To summarize the nursing experience of 5 patients with severe ARDS complicated with hypercapnia who underwent extracorporeal carbon dioxide removal(ECCO2R).Key points of nursing care included:establishing a rapid emergency response nursing team for ECCO2R;PETCO2 real-time monitoring to grasp the timing of the machine;ensuring continuity of treatment and improving the removal efficiency;respiratory-related monitoring;prevention of complications of blood coagulation and hypothermia;and weaning from extracorporeal carbon dioxide removal.After careful treatment and care,all the 5 patients were successfully removed from ECCO2R treatment.

关键词

体外二氧化碳清除/急性呼吸窘迫综合征/危重症护理

Key words

Extracorporeal Carbon Dioxide Removal/Acute Respiratory Distress Syndrome/Critical Care

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基金项目

东南大学附属中大医院护理科研课题(KJZC-HL-202125)

出版年

2024
中华护理杂志
中华护理学会

中华护理杂志

CSTPCD北大核心
影响因子:5.365
ISSN:0254-1769
参考文献量4
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