中华护理杂志 ›› 2021, Vol. 56 ›› Issue (11): 1707-1709.DOI: 10.3761/j.issn.0254-1769.2021.11.018

• 临床实践 • 上一篇    下一篇

左心室辅助装置与体外膜肺氧合治疗1例心力衰竭患者的护理

胡亚玲(), 兰美娟(), 汪春海, 宋剑平, 黄金英   

  1. 310009 杭州市 浙江大学医学院附属第二医院心脏大血管外科重症监护病房(胡亚玲,汪春海,黄金英),护理部(兰美娟,宋剑平)
  • 收稿日期:2021-04-08 出版日期:2021-11-15 发布日期:2021-11-16
  • 通讯作者: 兰美娟,E-mail: lmj3632@zju.edu.cn
  • 作者简介:胡亚玲:女,本科,主管护师,E-mail: 2198017@zju.edu.cn

Postoperative nursing care of a patient with heart failure treated by left ventricular assist device combined with central extracorporeal membrane oxygenation

HU Yaling(), LAN Meijuan(), WANG Chunhai, SONG Jianping, HUANG Jinying   

  • Received:2021-04-08 Online:2021-11-15 Published:2021-11-16

摘要:

总结左心室辅助装置与体外膜肺氧合治疗1例心力衰竭患者的护理经验。护理要点包括:血栓预防与出血控制、超声引导下心功能监测的护理配合、预防感染、早期运动康复护理、针对性心理护理。该患者经过精心治疗与护理,25 d后由ICU转入普通病房。

关键词: 左心辅助装置, 中央体外膜肺氧合, 心力衰竭, 护理

Abstract:

To summarize the nursing experience of 1 case of left ventricular assist device(LVAD) combined with central extracorporeal membrane oxygenation(CECMO) for right heart support. Nursing key points include:throm-bosis prevention and bleeding control,nursing cooperation of cardiac function monitoring under ultrasound guidance,infection prevention,early exercise rehabilitation nursing care,and targeted psychological care. Through careful nursing care and treatment,the patients was transferred from ICU to the general ward 25 days later.

Key words: Left Ventricular Assistant Device, Central Extracorporeal Membrane Oxygenation, Heart Failure, Nursing Care