总结1例肝移植术后并发重度急性呼吸窘迫综合征患儿的急救及护理体会。针对患儿快速进展性低氧血症及在治疗过程中极易发生出血、血栓、戒断症状等问题,采取快速识别病情变化、启动体外膜肺氧合和俯卧位通气治疗、精细化抗凝管理及合理镇静镇痛、制订童趣化心理护理方案等措施。经28 d的治疗和护理,患儿从移植ICU转入普通病房,术后第55天出院,随访2个月,患儿状况良好。
To summarize the first aid and nursing experience of a child with severe acute respiratory distress syndrome after liver transplantation. In order to solve the problems of the child with rapidly progressive hypoxemia and easy occurrence of bleeding,thrombosis and withdrawal symptoms during treatment,following measures were taken,such as emergency establishment of artificial airway,rapid implementation of extracorporeal membrane oxygenation and prone ventilation therapy,precise anti-coagulation management,rational sedation and analgesia,and development of personalized psychological nursing plan. After 28 days of treatment and nursing,the patient was transferred from the transplantation ICU to the general ward and discharged from the hospital on the 55th day after surgery. The follow-up was 2 months and the patient was in good condition.
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