ISSN 2097-6046(网络)
ISSN 2096-7446(印刷)
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 ›› 2025, Vol. 6 ›› Issue (2): 164-167.doi: 10.3761/j.issn.2096-7446.2025.02.006

• 心肺脑复苏护理专题 • 上一篇    下一篇

先天性完全性气管环患儿行体外心肺复苏的急救护理

周军(), 李帅妮, 蒋伟红, 诸纪华()   

  1. 310052 杭州市 国家儿童健康与疾病临床医学研究中心/浙江大学医学院附属儿童医院CICU
  • 收稿日期:2024-03-20 出版日期:2025-02-10 发布日期:2025-01-21
  • 通讯作者: 诸纪华,E-mail:jihuazhu@zju.edu.cn
  • 作者简介:周军:男,本科,主管护师,副护士长,E-mail:6513253@zju.edu.cn
  • 基金资助:
    浙江省教育厅一般科研项目(Y202352336)

Emergency nursing of extracorporeal cardiopulmonary resuscitation in a child with congenital complete tracheal rings

ZHOU Jun(), LI Shuaini, JIANG Weihong, ZHU Jihua()   

  • Received:2024-03-20 Online:2025-02-10 Published:2025-01-21

摘要:

总结1例先天性完全性气管环患儿因气管畸形窒息并心搏骤停行体外心肺复苏的急救护理体会。针对患儿呼吸衰竭、气管插管困难、继发心搏骤停等危急情况,采取组建多学科团队,维持高效心肺复苏,快速建立体外膜肺氧合,及时行头部亚低温治疗,以及做好气道廓清护理等措施。经积极抢救,患儿于7 d后转回普通病房,状况良好。

关键词: 完全性气管环, 先天性, 体外心肺复苏, 体外膜肺氧合, 急症护理

Abstract:

To summarize the emergency nursing experience of extracorporeal cardiopulmonary resuscitation in a child with congenital complete tracheal rings who suffered from asphyxia and cardiac arrest due to tracheal malformation. For the child with respiratory failure,difficult tracheal intubation,secondary cardiac arrest and other critical conditions,we took measures such as establishing a multidisciplinary team,maintaining efficient cardiopulmonary resuscitation,rapidly establishing extracorporeal membrane oxygenation,timely head hypothermia treatment,and airway clearance nursing. After active rescue,the child was transferred back to the general ward 7 days later with good condition.

Key words: Congenital Complete Tracheal Rings, Extracorporeal Cardiopulmonary Resuscitation, Extracorporeal Membrane Oxygenation, Emergency Nursing