1例主动脉夹层术后并发心源性休克行体外膜肺氧合患者的撤机护理

doi:10.3761/j.issn.0254-1769.2023.16.013

中华护理杂志 ›› 2023, Vol. 58 ›› Issue (16): 1996-1999.DOI: 10.3761/j.issn.0254-1769.2023.16.013

1例主动脉夹层术后并发心源性休克行体外膜肺氧合患者的撤机护理

王岩(), 王哲芸(), 赵玮玮, 余云, 张弛, 康玉贝

210008 南京市南京大学医学院附属鼓楼医院心胸外科

收稿日期:2022-11-15 出版日期:2023-08-20 发布日期:2023-08-14
通讯作者: 王哲芸，E-mail：13914704734@163.com
作者简介:王岩：男，本科，护师，E-mail：1134994192@qq.com
基金资助:
南京鼓楼医院2022年度护理科研课题(2022-A839)

Weaning nursing of a patient with extracorporeal membrane oxygenation after aortic dissection complicated with cardiogenic shock

WANG Yan(), WANG Zheyun(), ZHAO Weiwei, YU Yun, ZHANG Chi, KANG Yubei

Received:2022-11-15 Online:2023-08-20 Published:2023-08-14

摘要/Abstract

摘要：

总结1例急性A型主动脉夹层术后并发心源性休克行静脉-动脉体外膜肺氧合辅助治疗患者的撤机护理实践。护理要点如下：采用跨专业团队合作模式，组建体外膜肺氧合专班小组；制订目标导向性体外膜肺氧合管理方案，实施个体化撤机前护理；完善撤机前评估与准备，加强撤机中的配合及撤机后的观察。该患者经过精心的治疗与护理，术后第7天成功撤除体外膜肺氧合，术后第10天康复出院，随访时状态良好。

关键词: 体外膜肺氧合, 主动脉夹层, 休克，心源性, 撤机, 心血管疾病, 护理

Abstract:

To summarize the weaning nursing practice of a patient with postoperative cardiogenic shock complicated by acute type A aortic dissection receiving veno-arterial extracorporeal membrane oxygenation. The key points of nursing were as follows：the interprofessional team cooperation model was adopted，and the extracorporeal membrane oxygenation special class team was established；a goal-oriented extracorporeal membrane oxygenation management plan was formulated and individualized pre-weaning nursing was implemented. The evaluation and preparation before weaning should be improved，and the cooperation during weaning and the observation after weaning should be strengthened. After careful treatment and nursing，extracorporeal membrane oxygenation was successfully removed on the 7th day after operation，and the patient recovered and was discharged on the 10th day after surgery，and the follow-up was in good condition.

Key words: Extracorporeal Membrane Oxygenation, Aortic Dissection, Shock，Cardiogenic, Weaning, Cardiovascular Diseases, Nursing Care

王岩, 王哲芸, 赵玮玮, 余云, 张弛, 康玉贝. 1例主动脉夹层术后并发心源性休克行体外膜肺氧合患者的撤机护理[J]. 中华护理杂志, 2023, 58(16): 1996-1999.

WANG Yan, WANG Zheyun, ZHAO Weiwei, YU Yun, ZHANG Chi, KANG Yubei. Weaning nursing of a patient with extracorporeal membrane oxygenation after aortic dissection complicated with cardiogenic shock[J]. Chinese Journal of Nursing, 2023, 58(16): 1996-1999.

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1例主动脉夹层术后并发心源性休克行体外膜肺氧合患者的撤机护理

Weaning nursing of a patient with extracorporeal membrane oxygenation after aortic dissection complicated with cardiogenic shock

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