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

中华急危重症护理杂志 ›› 2025, Vol. 6 ›› Issue (12): 1451-1453.doi: 10.3761/j.issn.2096-7446.2025.12.006

• 心脏术后重症管理与康复 • 上一篇    下一篇

心脏瓣膜置换术后患儿并发室颤电风暴经体外心肺复苏救治的护理

李秀毛(), 罗明先, 崔文, 牟胜旭, 叶菁菁   

  1. 563000 遵义市 遵义医科大学附属医院心脏大血管外科
  • 收稿日期:2025-05-16 出版日期:2025-12-10 发布日期:2025-12-11
  • 作者简介:李秀毛：男，本科，主管护师，E-mail：393457031@qq.com
  • 基金资助:
    遵义市科技计划项目(遵市科合HZ字（2024）300号)

Nursing care for a pediatric patient with ventricular fibrillation storm following cardiac valve replacement surgery treated with extracorporeal cardiopulmonary resuscitation

LI Xiumao(), LUO Mingxian, CUI Wen, MU Shengxu, YE Jingjing   

  • Received:2025-05-16 Online:2025-12-10 Published:2025-12-11

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摘要：

总结1例儿童心脏瓣膜置换术后发生室颤电风暴，经体外心肺复苏成功救治的护理体会。患儿在反复除颤且药物治疗无效的危急情况下，迅速启动心脏术后体外膜肺氧合应急团队，实施体外心肺复苏；并采取目标体温管理、脑保护、目标导向性镇痛镇静等护理措施。经多学科团队协作治疗与精细化护理，患儿术后第7天撤除体外膜肺氧合，术后第12天由ICU转至病房，术后第19天顺利出院。随访预后良好。

关键词: 心肺复苏术, 电风暴, 心脏瓣膜假体植入, 危重病护理

Abstract:

To summarize the nursing experience of a child who developed ventricular fibrillation storm after cardiac valve replacement surgery and was successfully treated by extracorporeal cardiopulmonary resuscitation. In critical situations where defibrillation was repeated and drug therapy was ineffective，the emergency team for extracorporeal membrane oxygenation after cardiac surgery was quickly activated to implement cardiopulmonary resuscitation. Subsequently，targeted temperature management，neuroprotective strategies，and goal-directed analgesia and sedation protocols were implemented. Through multidisciplinary team collaboration and meticulous nursing care，the child was successfully liberated from ECMO on postoperative day（POD） 7. He was transferred from ICU to the cardiac surgery on POD 12，and was discharged on POD 19. The follow-up showed good prognosis.

Key words: Cardiopulmonary Resuscitation, Electrical Storm, Heart Valve Prosthesis Implantation, Critical Care Nursing