体外膜肺氧合联合主动脉内球囊反搏在暴发性心肌炎患者护理中的应用研究
[摘要] 目的 总结5例暴发性心肌炎患者联合应用体外膜肺氧合（ECMO）和主动脉内球囊反搏（IABP）的护理经验。方法 选择我科在2014年8月～2016年4月收治的联合应用ECMO和IABP的暴发性心肌炎患者5例。疾病初期通过严密的病情观察，迅速、有效开始ECMO和IABP辅助支持；在ECMO和IABP运行期间密切监测心率、血压、凝血功能等指标，并执行严格的液体管理和体外循环管路管理，及时观察和处理心律失常、低血压、肺出血及肢端循环障碍等各类并发症。 结果 本组5例患者中，4例经过ECMO和IABP辅助治疗后成功撤机，病情好转出院，死亡1例。 结论 ECMO和IABP作为有效的辅助措施，对暴发性心肌炎患者病情转复至关重要，临床上需不断总结其相关护理经验，提高护理水平，促进患者康复。
[关键词] 体外膜肺氧合；主动脉内球囊反搏；心肌炎；护理
[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2016）26-0158-04
Care for patients of fulminant myocarditis with extracorporeal membrane oxygenation and intro-aortic balloon pump
HUANG Huiqing1 GUO Songyuan1 HE Dehua2 ZHANG Xuehao2
1.Department of GICU， the First Affiliated Hospital of Xiamen University， Xiamen 361003， China； 2.Department of Cardiology，the First Affiliated Hospital of Xiamen University， Xiamen 361003， China
[Abstract] Objective To summarize the nursing experience of five cases of fulminant myocarditis with extracorporeal membrane oxygenation（ECMO） and intro-aortic balloon pump（IABP）. Methods Five cases of fulminant myocarditis with ECMO and IABP were selected from August 2014 to April 2016. The patient"s condition was closely observed and effective ECMO and IABP treatment were provided. Heart rate， blood pressure， and blood clotting function were closely monitored during the stage of ECMO and IABP treatment. Fluid management and cardiopulmonary bypass pipeline management were strictly enforced. All kinds of complications， such as arrhythmia， hypotension， pulmonary hemorrhag...
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