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 ›› 2024, Vol. 5 ›› Issue (11): 1004-1006.doi: 10.3761/j.issn.2096-7446.2024.11.007

• 多学科协作专题 • 上一篇    下一篇

体外膜肺氧合救治危重症孕产妇的多学科协作护理

王淑芹, 李绪言, 张春艳, 万娜, 张煜, 唐晓, 王睿, 贾燕瑞, 孙兵   

  1. 100020 北京市 首都医科大学附属北京朝阳医院呼吸与危重症医学科（王淑芹,李绪言,张春艳,万娜,张煜,唐晓,王睿,孙兵）,护理部（贾燕瑞）
  • 收稿日期:2023-12-04 发布日期:2024-12-03
  • 通讯作者: 张春艳,E-mail：coomoon11@163.com
  • 作者简介:王淑芹：女,硕士,副主任护师,护士长,E-mail：wsq1980@163.com
  • 基金资助:
    北京市属医院科研培训计划（PG2021004）

Multidisciplinary collaborative nursing care for critically ill pregnant and postpartum women treated with extracorporeal membrane oxygenation

WANG Shuqin, LI Xuyan, ZHANG Chunyan, WAN Na, ZHANG Yu, TANG Xiao, WANG Rui, JIA Yanrui, SUN Bing   

  • Received:2023-12-04 Published:2024-12-03

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摘要： 总结8例危重症孕产妇应用体外膜肺氧合救治的护理经验。护理要点：组建多学科协作团队;做好困难置管的配合与管理;分娩计划的落实与胎儿监测;精准抗凝及出血并发症的预防;清醒体外膜肺氧合期间加强管路固定及自主呼吸监测;多层面给予心理支持。本组8例患者均存活,胎儿3例存活。

关键词: 多学科, 体外膜肺氧合, 危重症, 孕产妇, 危重病护理

Abstract: To summarize the nursing experience of using extracorporeal membrane oxygenation to treat 8 critically ill pregnant and postpartum women. We adopted multidisciplinary collaborative team to coordinate and manage difficult catheterization,implement the delivery plan and monitor the fetuses,implement the precise anticoagulation and prevention of bleeding,strengthen catheter fixation and monitoring of spontaneous breathing during conscious ECMO,and provide multidimensional psychological care. All 8 patients survived,and 3 fetuses survived.

Key words: Multidisciplinary, Extracorporeal Membrane Oxygenation, Critical Illness, Pregnant and Postpartum Patients, Critical Care Nursing