急性呼吸窘迫综合征早产儿体外膜肺氧合下行俯卧位通气的护理

doi:10.3761/j.issn.2096-7446.2025.07.009

摘要/Abstract

摘要：

总结1例急性呼吸窘迫综合征早产儿体外膜肺氧合下行俯卧位通气的护理体会。护理要点：组建多学科团队准确评估体外膜肺氧合时机；个性化俯卧位通气方案的制订与实施；各类管路规范化管理，预防滑脱；严密监测生命体征，确保血流动力学稳定；出血和抗凝管理；精细化皮肤管理，预防压力性损伤等。经过精心治疗和护理，患儿成功撤离体外膜肺氧合，呼吸形态改善，俯卧位通气效果显著，住院78 d后顺利出院，随访时状态良好。

关键词: 体外膜氧合作用, 俯卧位, 呼吸窘迫综合征, 新生儿, 急症护理

Abstract:

The article summarized the nursing experience of prone position ventilation under extracorporeal membrane oxygenation（ECMO） in a premature infant with acute respiratory distress syndrome. Nursing key points included establishing the multidisciplinary team to assess the timing of ECMO，development and implementation of individualized prone position ventilation，standardized management of various pipelines to prevent slippage，close observation of vital signs to ensure hemodynamic stability，bleeding and anticoagulation management，refined skin management，prevention of pressure injury and etc. After careful treatment and care，the patient successfully withdrew from ECMO，improved respiratory morphology，and the effect of prone ventilation was significant. After 78 days of hospitalization，the patient was discharged smoothly and in good condition during follow-up.

Key words: Extracorporeal Membrane Oxygenation, Prone Position, Respiratory Distress Syndrome, Newborns, Emergency Nursing

周惠云, 罗飞翔, 慎斐. 急性呼吸窘迫综合征早产儿体外膜肺氧合下行俯卧位通气的护理[J]. 中华急危重症护理杂志, 2025, 6(7): 826-829.

ZHOU Huiyun, LUO Feixiang, SHEN Fei. Nursing of prone position ventilation under extracorporeal membrane oxygenation in a premature infant with acute respiratory distress syndrome[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(7): 826-829.

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