体外膜肺氧合支持下急性心肌梗死患者行介入治疗的护理

doi:10.3761/j.issn.2096-7446.2022.06.011

中华急危重症护理杂志 ›› 2022, Vol. 3 ›› Issue (6): 535-537.doi: 10.3761/j.issn.2096-7446.2022.06.011

体外膜肺氧合支持下急性心肌梗死患者行介入治疗的护理

余萍, 潘勇莉, 张瑛, 周莉, 楼秋英

310015 杭州市杭州师范大学附属医院心血管内科（余萍,周莉）,急诊室（潘勇莉）,ICU（张瑛）,临床研究中心（楼秋英）

收稿日期:2022-05-11 出版日期:2022-11-10 发布日期:2022-11-11
通讯作者: 楼秋英,E-mail：QYLourita@yeah.net
作者简介:余萍：女,本科,副主任护师,护士长,E-mail：yuping998@163.com

Nursing care of patients with acute myocardial infarction undergoing interventional therapy supported by extracorporeal membrane oxygenation

YU Ping, PAN Yongli, ZHANG Ying, ZHOU Li, LOU Qiuying

Received:2022-05-11 Online:2022-11-10 Published:2022-11-11

摘要/Abstract

摘要： 总结12例体外膜肺氧合（extracorporeal membrane oxygenation,ECMO）支持下急性心肌梗死合并心搏骤停患者行经皮冠状动脉介入治疗（percutaneous coronary intervention,PCI）的护理经验。护理要点：术前高质量心肺复苏;积极快速完善各项检查;尽早建立ECMO;安全有效院内转运;最短时间内冠脉血运重建;术中病情监测和管道护理;镇痛镇静护理;早期预防并发症和术后护理。12例中4例患者好转出院,其中3例患者病情稳定,定期门诊随访;1例患者遗留神经功能障碍。

关键词: 心肌梗死, 心搏骤停, 体外膜肺氧合, 经皮冠状动脉介入治疗, 急症护理

Abstract: To summarize the nursing experience of 12 patients with acute myocardial infarction combined with cardiac arrest undergoing percutaneous coronary intervention（PCI） supported by extracorporeal membrane oxygenation（ECMO）. Nursing points：preoperative high-quality cardiopulmonary resuscitation; Active and quick completion of various inspections; Establishment of ECMO as soon as possible; Safe and effective hospital transfer; Coronary revascularization in the shortest time; Intraoperative condition monitoring and pipeline nursing; Analgesia and sedation nursing; Early prevention of complications and postoperative care. Among the 12 cases,4 patients improved and were discharged,of which 3 patients were in stable condition and were followed up regularly and one patient left neurological dysfunction.

Key words: Myocardial Infarction, Cardiac Arrest, Extracorporeal Membrane Oxygenation, Percutaneous Coronary Intervention, Emergency Nursing

余萍, 潘勇莉, 张瑛, 周莉, 楼秋英. 体外膜肺氧合支持下急性心肌梗死患者行介入治疗的护理[J]. 中华急危重症护理杂志, 2022, 3(6): 535-537.

YU Ping, PAN Yongli, ZHANG Ying, ZHOU Li, LOU Qiuying. Nursing care of patients with acute myocardial infarction undergoing interventional therapy supported by extracorporeal membrane oxygenation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2022, 3(6): 535-537.

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体外膜肺氧合支持下急性心肌梗死患者行介入治疗的护理

Nursing care of patients with acute myocardial infarction undergoing interventional therapy supported by extracorporeal membrane oxygenation

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