摘要
目的总结在H7N9禽流感极危重症患者中，应用体外膜肺人工氧合法（ECMO）联合人工肝技术治疗的护理体会。方法选择10例H7N9禽流感极危重症患者，在ECMO＋人工肝联合治疗过程中，通过仔细观察病情，严密消毒防护，做好接触隔离、发热对症处理、呼吸机气道管理、ECMO＋人工肝管道护理及心理护理，加上四抗二平衡即抗病毒、抗低氧及多器官功能衰竭、抗休克、抗感染、维持微生态平衡、维持水电解质平衡的对症及支持治疗。结果10例H7N9禽流感极危重患者中病情好转已成功撤除ECMO＋人工肝治疗4例，其中1例已完全康复出院，另外6例状态稳定。结论对H7N9禽流感极危重症患者，给予全面、精心的护理，可促进患者早日康复。
Objective This research summarized the nursing experience of critically ill patients infected by H7N9 avian influenza who were treated with extracorporeal membrane oxygenation （ECMO） and artificial liver device. Methods 10 critically ill patients infected by H7N9 avian influenza were selected, during treatment of ECMO combined with artificial liver device, nursing care such as careful observation of the changes of symptoms, strict disinfection and protection, contact isolation, symptomatic treatment to fever, correct management of airway and ventilator circle, pipeline nursing of ECMO and artificial liver device, mental nursing, symptomatic and support therapy which included antivirus, anti-hypoxia and anti multiple organ failure, anti-shock, anti-infection, microecological balance maintenance and water-electrolyte balance maintenance. Results g critically ill patients infected by H7N9 avian influenza improved and removed ECMO and artificial liver device, among whom one patient rehabilitated and was discharged. Another 6 patients were in a steady state. Conclusions For critically ill patients infected by HTN9 avian influenza, comprehensive and elaborate care can facilitate early recovery of patients.
出处
《中国实用护理杂志》
北大核心
2013年第25期26-28,共3页
Chinese Journal of Practical Nursing
关键词
禽流感
体外膜肺人工氧合法
人工肝
重症护理
Avian influenza
Extracorporeal membrane oxygenation
Artificial liver
Intensive care
