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 (12): 1108-1110.doi: 10.3761/j.issn.2096-7446.2024.12.009

• 重症护理研究 • 上一篇    下一篇

急性呼吸窘迫综合征患者行体外二氧化碳清除治疗的护理

郭力华, 高春华, 林燕, 乔文博, 周飞飞, 褚君卿   

  1. 310003 杭州市 浙江大学医学院附属第一医院护理部
  • 收稿日期:2024-01-12 发布日期:2024-12-10
  • 通讯作者: 褚君卿,E-mail：99229735@qq.com
  • 作者简介:郭力华：女,本科,护师,E-mail：409153011@qq.com

Nursing care of a patient with acute respiratory distress syndrome undergoing extracorporeal carbon dioxide removal therapy

GUO Lihua, GAO Chunhua, LIN Yan, QIAO Wenbo, ZHOU Feifei, CHU Junqing   

  • Received:2024-01-12 Published:2024-12-10

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摘要： 总结1例急性呼吸窘迫综合征患者行体外二氧化碳清除治疗的护理体会。护理要点：俯卧位通气的护理;动态调整肺保护性通气策略;一氧化氮治疗的配合与管理;平衡出血与血栓形成风险;目标导向的镇静管理;渐进性早期康复锻炼。患者第110天成功脱机,第120天转入康复医院继续治疗。

关键词: 急性呼吸窘迫综合征, 俯卧位通气, 体外二氧化碳清除技术, 危重病护理

Abstract: To summarize the nursing care of a patient with acute respiratory distress syndrome who received extracorporeal carbon dioxide removal. Nursing points：nursing during prone position ventilation,dynamic adjustment of lung protective ventilation strategy,coordination and management of nitric oxide therapy,balancing the risk of bleeding and thrombosis,goal-oriented sedation and analgesia,and progressive early rehabilitation exercise. The patient went offline successfully on the 110th day and was transferred to a rehabilitation hospital for further treatment on the 120th day.

Key words: Acute Respiratory Distress Syndrome, Prone Position Ventilation, Extracorporeal Carbon Dioxide Removal, Critical Care Nursing