Chinese Journal of Nursing ›› 2021, Vol. 56 ›› Issue (1): 120-123.DOI: 10.3761/j.issn.0254-1769.2021.01.020

• Clinical Practice • Previous Articles     Next Articles

Nursing cooperation in a case of extracorporeal membrane oxygenation assisted off-pump coronary unroofing surgery in children

ZOU Chen(),ZHANG Zewei,YANG Lijun,ZHAO Hangyan()   

  • Received:2020-01-09 Online:2021-01-15 Published:2021-01-15
  • Contact: Hangyan ZHAO

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

邹晨(),张泽伟,杨丽君,赵杭燕()   

  1. 310052 杭州市 浙江大学医学院附属儿童医院手术室(邹晨,赵杭燕),心脏外科(张泽伟) ,体外循环/体外生命支持科(杨丽君)
  • 通讯作者: 赵杭燕
  • 作者简介:邹晨:女,本科,主管护师, E-mail: zouchen85@163.com

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

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