ISSN 2096-7446　CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2024, Vol. 5 ›› Issue (1): 43-46.doi: 10.3761/j.issn.2096-7446.2024.01.007

• 呼吸监护专题 • 上一篇    下一篇

体外膜肺氧合混合转流模式在肺移植患者中的应用

曾妃 兰美娟 郑叶平 梁江淑渊 顾培培   

  • 出版日期:2024-01-10 发布日期:2024-01-25

Nursing care of six lung transplantation patients with hybrid extracorporeal mem- brane oxygenation

ZENG Fei，LAN Meijuan，ZHENG Yeping，LIANG Jiangshuyuan， GU peipei   

  • Online:2024-01-10 Published:2024-01-25

摘要： 总结6例肺移植患者行体外膜肺氧合混合转流模式的护理经验。 针对该组肺移植患者体外膜肺氧合混合模式转流过程复杂、管理难度大、安全隐患多的问题，采取如下护理措施：建立体外膜肺氧合流转专项工作机制，医护高效配合；精准化流量调节确保有效心肺支持；清晰标识管路管理确保患者安全；多模式监测神经系统症状；密切监测并发症发生。 经过精细化护理，6例患者在ECMO转流期间均未出现相关并发症，顺利撤机。

关键词: 肺移植, 体外膜肺氧合, 混合式, 转流, 危重病护理

Abstract: To summarize the nursing experience of 6 cases of lung transplantation patients with hybrid extracorporeal membrane oxygenation （ECMO）. In view of the complicated procedure of turn flow，difficulty of management and multiple safety risks in this group of patients with hybrid ECMO，the following targeted nursing measures were taken，including establishing a professional working mechanism for highly effective cooperation of doctors and nurses，precise flow regulation to ensure effective cardiopulmonary support，clear pipeline management to ensure patient safety，monitor of neurological symptoms through multiple channels and close monitoring of complications. With careful care，all patients had no related complications during ECMO transfer，and the machine was successfully removed.

Key words: Lung Transplantation, Extracorporeal Membrane Oxygenation, Hybrid, Turn Flow, Critical Care Nursing