1例体外膜肺氧合辅助非体外循环下患儿行冠状动脉去顶手术的护理配合

doi:10.3761/j.issn.0254-1769.2021.01.020

摘要/Abstract

摘要：

总结1例体外膜肺氧合（extracorporeal membrane oxygenation,ECMO）辅助非体外循环下患儿行冠状动脉去顶手术的护理配合经验。护理要点如下:术前病情讨论、手术间准备、ECMO下患儿的院内转运,术中护理配合和应急预案制订以及术后管理。该例患儿成功完成心脏手术,术后继续ECMO支持,14 d后顺利脱机,术后27 d出院。

关键词: 体外膜肺氧合, 冠状动脉去顶手术, 儿科护理学, 围手术期护理

Abstract:

To summarize nursing cooperation in a case of extracorporeal membrane oxygenation（ECMO） assisted off-pump coronary unroofing surgery in children. The nursing points are as follows:preoperative condition discussion,intraoperative preparation,ECMO hospital transportation,surgical nursing cooperation,emergency plan formulation and postoperative management. In this case,cardiac surgery was successfully completed. ECMO support was continued after the operation and weaned 14 days later. The patient was discharged 27 days after surgery.

Key words: Perioperative Nursing, Extracorporeal Membrane Oxygenation, Coronary Unroofing Surgery, Pediatric Nursing, Perioperative Nursing

邹晨,张泽伟,杨丽君,赵杭燕. 1例体外膜肺氧合辅助非体外循环下患儿行冠状动脉去顶手术的护理配合[J]. 中华护理杂志, 2021, 56(1): 120-123.

ZOU Chen,ZHANG Zewei,YANG Lijun,ZHAO Hangyan. Nursing cooperation in a case of extracorporeal membrane oxygenation assisted off-pump coronary unroofing surgery in children[J]. Chinese Journal of Nursing, 2021, 56(1): 120-123.

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