报告1例百草枯中毒患者长程体外膜氧合（extracorporeal membrane oxygenation,ECMO）支持下肺移植的术前护理体会。针对患者百草枯中毒后出现急性呼吸窘迫综合征、多器官功能障碍综合征、呼吸衰竭等问题,采取组建ECMO多学科团队、连续性肾脏替代治疗、控制肺部感染、对症纠正多器官功能障碍综合症、ECMO并发症监测与护理、加强心理护理等多项针对性护理措施。经过35 d的ECMO治疗与精心护理,患者成功行肺移植手术,术后随访健康状况良好。
To report the preoperative nursing for a case of paraquat poisoning patient undergoing lung transplantation under long-term ECMO support. In terms of the patient's acute respiratory distress syndrome,multi-organ dysfunction syndrome and respiratory failure after paraquat poisoning,multiple targeted nursing measures were taken,including the formation of an ECMO multidisciplinary team,continuous renal replacement therapy,control of pulmonary infection,monitoring and nursing of ECMO complications,and strengthening psychological care. After 35 days of ECMO treatment,the patient successfully received lung transplantation and was good during postoperative follow-up.
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