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目的:总结新生儿先天性心脏病术后经体外膜肺氧合联合血液净化治疗的护理经验。方法对3例术后患儿在体外膜肺氧合联合连续性血液净化治疗的护理中,结合新生儿的特点,在消毒隔离、管道护理、体温监测、病情观察、液体管理、镇静镇痛、皮肤护理、发育支持护理等方面进行护理。结果通过精心护理,治疗过程顺利,2例患儿病情恢复良好,未出现严重并发症;另外1例患儿术后出现多脏器功能衰竭,无法撤离体外膜肺死亡。结论合理有效的护理对新生儿体外膜肺氧合联合血液净化治疗的成功起到了重要作用。 相似文献
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[目的]总结临床应用体外膜肺治疗重症肺炎的护理及治疗效果。[方法]对3例重症肺炎病人采用体外膜肺治疗,治疗期间做好病情评估、生命体征观察、仪器管理、病区环境管理以及出血、感染、栓塞、溶血、肝功能不全等并发症的观察和护理。[结果]成功治愈2例,1例因为原发病不能控制死亡。[结论]严密监测和有效的护理是体外膜肺治疗重症肺炎成功的重要保证。 相似文献
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报告1例体外膜肺(ECMO)救治暴发性心肌炎患儿的护理体会。通过严密的病情观察和监测,严格的体外循环管路管理,及时观察和处理出血、肢端循环障碍和感染等各类并发症及有效的心理护理,患儿病情恢复稳定,成功撤离ECMO和人工呼吸机,1个月后痊愈出院。 相似文献
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从体外膜肺氧合(ECMO)治疗的基本原理及其发展、ECMO技术应用于重症呼吸衰竭的适应证、ECMO技术应用于重症呼吸衰竭病人的护理(包括循环和生命体征的监测、气道及呼吸机管理、预防感染、氧合器护理等)方面综述了体外膜肺氧合技术在重症呼吸衰竭病人护理中的应用进展. 相似文献
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目的探讨行体外膜肺氧合(ECMO)治疗并发症的观察及护理要点。方法对8例因心肺功能不全而在术中或术后建立ECMO的患者,对治疗过程中出现的并发症进行分析和总结。结果8例患者使用ECMO时间为4~81h,4例患者能顺利脱离ECMO,4例不能脱机,其中2例因心跳停止不能恢复,1例出血不止,1例因怀疑肺栓塞而放弃。结论出血仍是ECMO最主要的并发症,使用肝素涂层的膜肺和管道并合理应用肝素,是减少出血的方法之一。 相似文献
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Andrew Rosengarten Patricia Elmore Joseph Epstein 《Emergency medicine Australasia : EMA》2002,14(2):181-187
Wegener’s Granulomatosis is a necrotizing vasculitis that in its most severe form can cause respiratory failure, renal failure and subglottic stenosis requiring surgical airway access. We describe the use of portable extracorporeal membrane oxygenation and the long distance road transport of a patient with Wegener’s Granulomatosis who developed respiratory failure that was refractory to conventional mechanical ventilation. We have demonstrated the effective use of portable extracorporeal membrane oxygenation for stabilization and safe acute interhospital transfer over a long distance by road ambulance to a tertiary centre for further management. 相似文献
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《The Journal of emergency medicine》1998,16(1):83-92
Malignant airway obstruction affects up to 80,000 patients annually, many of whom will present acutely to the emergency department (ED). This clinical entity should be sought in any patient presenting to the ED with increasing shortness of breath, recurrent chest infections, hemoptysis, and an inability to lie flat. Interventions suggested in malignant airway obstruction include: maintenance of spontaneous ventilation by avoiding respiratory depressing sedation, muscle relaxants or narcotics; changes in patient’s position; avoidance of general anesthesia and positive pressure ventilation, if possible; placement of endotracheal tube beyond the level of obstruction; radiotherapy; corticosteroids; availability of helium-oxygen mixtures, cardiopulmonary bypass, or extracorporeal membrane oxygenation. If time allows, further diagnostic studies will be of assistance in assessing the best therapy before definitive intervention. 相似文献
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目的探讨体外膜氧合(ECMO)辅助下呼吸内镜治疗气道严重阻塞的可行性及安全性。方法回顾性分析该院2015年2例经ECMO辅助下呼吸内镜手术解除中央气道阻塞的临床资料、手术经过、并发症及手术疗效评估。结果术后气道阻塞开放程度,病例1左主支气管开放100%,右主支气管开放50%,病例2气管开放90%,术中出血量病例1为70 ml,病例2为300 ml,术后呼吸困难症状及评分明显改善,围手术期无死亡。结论 ECMO技术在呼吸内镜手术中能够提高手术的安全性,为严重气道阻塞的微创内镜手术提供了新的辅助方式。 相似文献
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A 39-year-old man experienced total obstruction of a distal tracheal plastic stent by a tumor mass, preventing effective ventilation and resulting in cardiac arrest. Resuscitation by emergency bedside venoarterial extracorporeal membrane oxygenation (ECMO) permitted time to physically remove the obstructing tumor and reestablish successful ventilation and liberation from ventilatory support. We review several other reported cases of emergency ECMO to resuscitate patients with acute airway obstruction. 相似文献