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 (5): 570-572.doi: 10.3761/j.issn.2096-7446.2025.05.010

• 急症护理研究 • 上一篇    下一篇

心搏骤停复苏术后患者紧急行冠状动脉介入联合左心室辅助装置治疗的护理

莫敏华(), Lo Wan Po Joanna(), Shum Hoi Ping, Chang Li Li   

  1. 518000 深圳市 北京大学深圳医院重症医学科(莫敏华);香港特别行政区东区尤德夫人那打素医院深切治疗部(Lo Wan Po Joanna,Shum Hoi Ping,Chang Li Li)
  • 收稿日期:2024-12-05 出版日期:2025-05-10 发布日期:2025-04-28
  • 通讯作者: Lo Wan Po Joanna,E-mail:lowanpo@hotmail.com
  • 作者简介:莫敏华:女,本科,主管护师,E-mail:798326972@qq.com
  • 基金资助:
    深圳市“医疗卫生三名工程”项目资助(SZSM202111013)

Nursing care of a patient undergoing emergency coronary intervention combined with left ventricular assist device therapy after cardiac arrest

MO Minhua(), Lo Wan Po Joanna(), Shum Hoi Ping, Chang Li Li   

  • Received:2024-12-05 Online:2025-05-10 Published:2025-04-28

摘要:

总结1例院内发生心搏骤停患者复苏术后紧急行经皮冠状动脉介入治疗联合左心室辅助装置,术后带左心室辅助装置转入ICU的护理体会。采用查检表严密核查执行步骤及监测过程情况,包括每日管理、并发症观察、撤机及拔管护理。左心室辅助装置辅助49.25 h后顺利撤除,94 h后患者拔除气管插管,ICU治疗8 d后转普通病房。

关键词: 心脏停搏, 急性冠脉综合征, 经皮冠状动脉介入治疗, 心脏辅助装置

Abstract:

To summarize the nursing experience of a patient with cardiac arrest who underwent emergency percutaneous coronary intervention combined with left ventricular assist device after resuscitation and was transferred to the ICU with left ventricular assist device after surgery. Checklists were used to closely check the steps performed and monitor the process,including daily management,complication observation,weaning and extubation care. The left ventricular assist device was successfully removed after 49.25 h. After 94 hours,the patient was removed from the endotracheal intubation,and after 8 days of ICU treatment,he was transferred to the general ward.

Key words: Cardiac Arrest, Acute Coronary Syndrome, Percutaneous Coronary Intervention, Heart Assist Device