中华急危重症护理杂志2024,Vol.5Issue(1) :43-46.DOI:10.3761/j.issn.2096-7446.2024.01.007

体外膜肺氧合混合转流模式在肺移植患者中的应用

Nursing care of six lung transplantation patients with hybrid extracorporeal mem-brane oxygenation

曾妃 兰美娟 郑叶平 梁江淑渊 顾培培
中华急危重症护理杂志2024,Vol.5Issue(1) :43-46.DOI:10.3761/j.issn.2096-7446.2024.01.007

体外膜肺氧合混合转流模式在肺移植患者中的应用

Nursing care of six lung transplantation patients with hybrid extracorporeal mem-brane oxygenation

曾妃 1兰美娟 1郑叶平 2梁江淑渊 3顾培培4
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作者信息

  • 1. 310051 杭州市 浙江大学医学院附属第二医院护理部
  • 2. 嘉兴市第二医院护理部
  • 3. 310051 杭州市 浙江大学医学院附属第二医院综合ICU
  • 4. 310051 杭州市 浙江大学医学院附属第二医院肺移植科
  • 折叠

摘要

总结6例肺移植患者行体外膜肺氧合混合转流模式的护理经验.针对该组肺移植患者体外膜肺氧合混合模式转流过程复杂、管理难度大、安全隐患多的问题,采取如下护理措施:建立体外膜肺氧合流转专项工作机制,医护高效配合;精准化流量调节确保有效心肺支持;清晰标识管路管理确保患者安全;多模式监测神经系统症状;密切监测并发症发生.经过精细化护理,6例患者在ECMO转流期间均未出现相关并发症,顺利撤机.

Abstract

To summarize the nursing experience of 6 cases of lung transplantation patients with hybrid extracorporeal membrane oxygenation(ECMO).In view of the complicated procedure of turn flow,difficulty of management and multiple safety risks in this group of patients with hybrid ECMO,the following targeted nursing measures were taken,including establishing a professional working mechanism for highly effective cooperation of doctors and nurses,precise flow regulation to ensure effective cardiopulmonary support,clear pipeline management to ensure patient safety,monitor of neurological symptoms through multiple channels and close monitoring of complications.With careful care,all patients had no related complications during ECMO transfer,and the machine was successfully removed.

关键词

肺移植/体外膜肺氧合/混合式/转流/危重病护理

Key words

Lung Transplantation/Extracorporeal Membrane Oxygenation/Hybrid/Turn Flow/Critical Care Nursing

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基金项目

浙江省医药卫生科技计划项目(2021KY169)

出版年

2024
中华急危重症护理杂志

中华急危重症护理杂志

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