摘要
目的介绍一例危重型新型冠状病毒肺炎患者应用ECMO联合CRRT治疗的护理,提高人们对ECMO联合CRRT治疗新型冠状病毒肺炎的护理认识。方法启动ECMO团队,做好ECMO联合CRRT的管路护理、并发症的观察及护理、循环系统和呼吸系统的管理以及感染控制。结果患者共住院50天,ECMO治疗39天,肺部病灶明显吸收好转,氧合指数300左右,病情好转,撤除ECMO。结论ECMO联合CRRT技术较为复杂,对护理人员的技术要求非常高,认真落实好紧密相连的各项护理措施,才可以更好地减少并发症及失误发生,达到理想的治疗效果。
Objective To introduce a case of critically ill patients with new coronavirus pneumonia treated with ECMO and CRRT,to improve people’s understanding of ECMO combined with CRRT in the treatment of new coronavirus pneumonia.Methods The ECMO team was started,and ECMO combined CRRT pipeline care,observation and care of complications,management of the circulatory system and respiratory system,and infection control.Results The patient was hospitalized for 50 days and treated with ECMO for 39 days.The lung lesions were significantly absorbed and the oxygenation index was about 300.The condition improved and ECMO was removed.Conclusion ECMO combined with CRRT technology is relatively complex,and the technical requirements for nursing staff are very high.Careful implementation of closely connected nursing measures can better reduce the occurrence of complications and errors and achieve the desired treatment effect.
作者
邓勇进
任卫红
张红梅
盘瑞兰
郑春梅
梁小青
DENG Yong-jin;REN Wei-hong;ZHANG Hong-mei;PAN Rui-lan;ZHENG Chun-mei;LIANG Xiao-qing(Department of Critical Care Medicine,Dongguan People’s Hospital,Dongguan,Guangdong 523018)
出处
《智慧健康》
2020年第17期167-170,共4页
Smart Healthcare
