关键词: 体外膜肺氧合, 连续性肾脏替代治疗, 特重度烧伤, 重症监护

Abstract:

To summarize the nursing experience of 6 severe burn patients with extracorporeal membrane oxygenation（ECMO） and continuous renal replacement therapy（CRRT）. Nursing points：the whole process pressure monitoring;the development of individualized liquid management plan to ensure adequate capacity;the precise anticoagulation management to prevent blood clotting in filter and the special attention to wound drainage;the establishment of a full-time team for infection control to strictly prevent infection;under the premise of protecting the burned skin. During the treatment of ECMO combined with CRRT,no one was found with any complications such as tube shedding,tube bleeding,nozzle skin infection,abnormal shutdown of ECMO and CRRT,or bleeding.

Key words: Extracorporeal Membrane Oxygenation, Continuous Renal Replacement Therapy, Extremely Severe Burns, Intensive Care