ICU体外循环手术患者术后肺部并发症评估及护理研究进展

doi:10.3761/j.issn.2096-7446.2026.02.019

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (2): 238-242.doi: 10.3761/j.issn.2096-7446.2026.02.019

ICU体外循环手术患者术后肺部并发症评估及护理研究进展

李尊柱¹(), 常晓未¹, 罗红波¹, 赵明曦¹, 井杰¹, 吴欣娟²^,^*()

1.中国医学科学院北京协和医学院北京协和医院重症医学科北京市 100730
2.中国医学科学院北京协和医学院北京协和医院护理部北京市 100730

收稿日期:2025-03-25 出版日期:2026-02-10 发布日期:2026-02-02
通讯作者: 吴欣娟 E-mail:18612671363@163.com;wuxinjuan@sina.com
作者简介:李尊柱：男，本科（硕士在读），主任护师，E-mail：18612671363@163.com
基金资助:
国家重点研发计划重点专项项目(2022YFC2504505)

Research progress on postoperative pulmonary complications assessment and nursing of ICU patients undergoing cardiac surgery with cardiopulmonary bypass

LI Zunzhu¹(), CHANG Xiaowei¹, LUO Hongbo¹, ZHAO Mingxi¹, JING Jie¹, WU Xinjuan²^,^*()

1. Department of Critical Care Medicine， Peking Union Medical College Hospital，Peking Union Medical College，Chinese Academy of Medical Sciences， Beijing 100730， China
2. Department of Nursing， Peking Union Medical College Hospital，Peking Union Medical College，Chinese Academy of Medical Sciences， Beijing 100730， China

Received:2025-03-25 Online:2026-02-10 Published:2026-02-02
Contact: WU Xinjuan E-mail:18612671363@163.com;wuxinjuan@sina.com
Supported by:
National Key Research and Development Program of China(2022YFC2504505)

摘要/Abstract

摘要：

体外循环手术患者术后肺部并发症发生率高，直接造成患者住院时间延长及治疗费用增加，严重影响患者的术后康复及生活质量。准确评估可以早期识别、诊断并发症并指导改进护理策略。该文综述了国内外体外循环术后患者肺部并发症评估方法及基于评估的目标导向性护理实施要点等内容，以期为促进ICU体外循环术后患者肺部并发症的评估及护理质量提供借鉴。

关键词: 体外循环手术, 重症监护, 术后肺部并发症, 综述文献专题

Abstract:

Postoperative pulmonary complications（PPCs） in patients undergoing cardiopulmonary bypass surgery occur with high frequency，directly leading to prolonged hospitalization，increased treatment costs，and significantly impaired postoperative recovery and quality of life. Accurate assessment enables early identification and diagnosis of complications，thereby guiding the improvement of nursing strategies. This article reviews domestic and international assessment methods for PPCs in post-cardiopulmonary bypass patients and discusses key points in implementing assessment-based goal-directed nursing interventions，aiming to provide references for enhancing the evaluation and nursing quality of PPCs in ICU patients following cardiopulmonary bypass surgery.

Key words: Cardiopulmonary Bypass, Intensive Care, Postoperative Pulmonary Complications, Review Literature as Topic

李尊柱, 常晓未, 罗红波, 赵明曦, 井杰, 吴欣娟. ICU体外循环手术患者术后肺部并发症评估及护理研究进展[J]. 中华急危重症护理杂志, 2026, 7(2): 238-242.

LI Zunzhu, CHANG Xiaowei, LUO Hongbo, ZHAO Mingxi, JING Jie, WU Xinjuan. Research progress on postoperative pulmonary complications assessment and nursing of ICU patients undergoing cardiac surgery with cardiopulmonary bypass[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(2): 238-242.

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ICU体外循环手术患者术后肺部并发症评估及护理研究进展

Research progress on postoperative pulmonary complications assessment and nursing of ICU patients undergoing cardiac surgery with cardiopulmonary bypass

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