高处坠落致截瘫患者术后急性肺栓塞体外膜肺氧合下取栓的护理

doi:10.3761/j.issn.2096-7446.2024.06.010

中华急危重症护理杂志 ›› 2024, Vol. 5 ›› Issue (6): 541-544.doi: 10.3761/j.issn.2096-7446.2024.06.010

高处坠落致截瘫患者术后急性肺栓塞体外膜肺氧合下取栓的护理

宣烨菁, 梁江淑渊, 曾妃

310009 杭州市浙江大学医学院附属第二医院护理部（宣烨菁）,综合ICU（梁江淑渊,曾妃）

收稿日期:2023-12-06 发布日期:2024-06-21
通讯作者: 曾妃,E-mail：2519059@zju.edu.cn
作者简介:宣烨菁：女,本科（硕士在读）,主管护师,E-mail：2508072@zju.edu.cn

Nursing care of thrombus removal under extracorporeal membrane oxygenation in a patient with postoperative acute pulmonary embolism after paraplegia caused by fall from height

XUAN Yejing, LIANG Jiangshuyuan, ZENG Fei

Received:2023-12-06 Published:2024-06-21

摘要/Abstract

摘要： 总结1例高处坠落致截瘫术后并发急性肺栓塞患者在体外膜肺氧合（extracorporeal membrane oxygenation,ECMO）支持下取栓治疗的护理体会。护理要点：密切关注心源性休克后心功能的恢复情况、加强体外膜肺氧合辅助支持期间的护理、实施序贯性抗凝管理、制订气道大出血应急预案及实施阶段性整体康复训练方案。经过综合监护室13 d的治疗与护理,患者病情稳定,顺利转回骨科病房进一步康复治疗。

关键词: 颈椎骨折, 急性肺栓塞, 体外膜肺氧合, 危重病护理

Abstract: To summarize the nursing experience of thrombus removal under the support of extracorporeal membrane oxygenation（ECMO） in a patient with postoperative acute pulmonary embolism after paraplegia caused by fall from height. The main nursing points included paying close attention to the recovery of cardiac function after cardiogenic shock,strengthening the nursing during ECMO support,implementation of sequential anticoagulation management,formulation of emergency plans for massive airway bleeding,and implementation of phased holistic rehabilitation training programs. After 13 days of treatment and nursing in the comprehensive intensive care unit,the patient‘s condition was stable and she was transferred back to the orthopaedic ward for further rehabilitation treatment.

Key words: Cervical Spine Fracture, Acute Pulmonary Embolism, Extracorporeal Membrane Oxygenation, Critical Care Nursing

宣烨菁, 梁江淑渊, 曾妃. 高处坠落致截瘫患者术后急性肺栓塞体外膜肺氧合下取栓的护理[J]. 中华急危重症护理杂志, 2024, 5(6): 541-544.

XUAN Yejing, LIANG Jiangshuyuan, ZENG Fei. Nursing care of thrombus removal under extracorporeal membrane oxygenation in a patient with postoperative acute pulmonary embolism after paraplegia caused by fall from height[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(6): 541-544.

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高处坠落致截瘫患者术后急性肺栓塞体外膜肺氧合下取栓的护理

Nursing care of thrombus removal under extracorporeal membrane oxygenation in a patient with postoperative acute pulmonary embolism after paraplegia caused by fall from height

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