ISSN 2096-7446　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 ›› 2023, Vol. 4 ›› Issue (7): 600-603.doi: 10.3761/j.issn.2096-7446.2023.07.004

• 危重患儿与孕产妇护理专题 • 上一篇    下一篇

新生儿体外膜肺氧合下采用静脉留置针行胸腔闭式引流的护理

王媛  周红 符婕 丁丽雯 巨容 吴娜娜  陈霞   

  • 出版日期:2023-07-10 发布日期:2023-07-10

Nursing of a newborn with closed thoracic drainage by intravenous indwelling catheter under the support of extracorporeal membrane oxygenation

WANG Yuan， ZHOU Hong，FU Jie，DING Liwen，JU Rong，WU Nana，CHEN Xia   

  • Online:2023-07-10 Published:2023-07-10

摘要：

总结1例新生儿体外膜肺氧合（extracorporeal membrane oxygenation，ECMO）支持期间采用静脉留置针行胸腔闭式引流的护理体会。针对胎粪吸入综合征（meconium aspiration syndrome，MAS）的新生儿ECMO支持期间实施胸腔闭式引流护理，采取全程个体化护理措施，包括ECMO静脉留置针胸腔闭式引流的护理、出血事件应对、气道护理、疼痛干预、感染防控。经过精心治疗和护理，患儿病情稳定出院，出院后随访患儿状况良好。

关键词: 体外膜肺氧合, 新生儿护理, 胸腔穿刺术, 引流, 危重症护理

Abstract: To summarize the experience of a newborn with closed thoracic drainage by intravenous indwelling catheter during the support of extracorporeal membrane oxygenation （ECMO）. Aimed at the nursing of closed thoracic drainage during ECMO support for the newborn with meconium aspiration syndrome （MAS），individualized nursing measures in the whole process were adopted，including nursing of closed thoracic drainage by intravenous indwelling catheter，response of bleeding event，airway care，infection prevention and control，pain intervention， combination of lung protection and prone position ventilation. After careful treatment and nursing，the patient was discharged steadily，and the follow-up of the patient was in good condition after discharge.

Key words: Extracorporeal Membrane Oxygenation, Neonatal Nursing, Thoracentesis, Drainage, Critical Care Nursing