肺移植术后大咯血患者行体外膜肺氧合下硬质支气管镜治疗的护理

doi:10.3761/j.issn.2096-7446.2023.02.009

Abstract

Abstract: To summarize the emergency nursing experience of a patient with massive hemoptysis after lung transplantation undergoing rigid bronchoscopy assisted by extracorporeal membrane oxygenation. For patients with massive hemoptysis without symptoms,a comprehensive emergency plan was adopted,including safe and quick transport,extracorporeal membrane oxygenation care,bedside rigid bronchoscopy management,and monitoring of patient bleeding and thrombosis. After 12 days of active treatment and care,the patient recovered and was discharged from the hospital.

Key words: Extracorporeal Membrane Oxygenation, Lung Transplantation, Bronchoscopy, Hemoptysis, Anticoagulation Management, Emergency Nursing

ZHANG Shuai, LIN Yan, GAO Chunhua, CHU Junqing, DONG Zhenyuan. Nursing care of a patient with massive hemoptysis after lung transplantation undergoing rigid bronchoscopy under extracorporeal membrane oxygenation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(2): 140-143.

References

[1] Shin S,Shin TB,Choi H,et al.Peripheral pulmonary arterial pseu-doaneurysms:therapeutic implications of endovascular treat-ment and angiographic classifications[J]. Radiology,2010,256(2):656-664.
[2] 席寅,刘冬冬,杨淳,等. 危重症患者大咯血病因构成及支气管动脉栓塞术的疗效观察[J]. 中华危重病急救医学,2018,30(7):671-676.
Xi Y,Liu DD,Yang C,et al.Etiological composition of massive hemoptysis in critically ill patients and observation of curative effect of bronchial artery embolization[J]. Chin Crit Care Med,2018,30(7):671-676.
[3] 王洪武,金发光. 硬质支气管镜临床应用专家共识[J]. 中华肺部疾病杂志(电子版),2022,15(1):6-10.
Wang HW,Jin FG.Expert consensus on the clinical application of rigid bronchoscopy[J]. Chin J Lung Dis Electron Ed,2022,15(1):6-10.
[4] Schmidt M,Franchineau G,Combes A.Recent advances in venovenous extracorporeal membrane oxygenation for severe acute respiratory distress syndrome[J]. Curr Opin Crit Care,2019,25(1):71-76.
[5] 胡宇凡,张立新,胡英莉. 危重患者院内转运风险与防范的研究进展[J]. 中华现代护理杂志,2018,24(14):1734-1736.
Hu YF,Zhang LX,Hu YL.Research progress on the risk and prevention of in-hospital transport of critically ill patients[J].Chin J Mod Nurs,2018,24(14):1734-1736.
[6] 盖玉彪,郭小靖,辛晨,等. ECMO快速反应团队的建立和管理实践[J]. 中华危重病急救医学,2021,33(3):349-351.
Gai YB,Guo XJ,Xin C,et al.Extracorporeal membrane oxygenation rapid response team building and management practice[J]. Chin Crit Care Med,2021,33(3):349-351.
[7] 蔡建树,项伟岚,陈渊航,等. 全麻俯卧位手术护理风险核查表的设计与应用[J]. 中国护理管理,2019,19(4):612-617.
Cai JS,Xiang WL,Chen YH,et al.Development and implementation of the general anesthesia prone position surgical checklist[J]. Chin Nurs Manag,2019,19(4):612-617.
[8] 贾雪萍,曾磊,杨红晓,等. 体外膜肺氧合联合连续性肾脏替代治疗患者的护理[J]. 中华急危重症护理杂志,2022,3(1):89-91.
Jia XP,Zeng L,Yang HX,et al.Nursing care of a patient treated by extracorporeal membrane oxygenation combined with continuous renal replacement therapy[J]. Chin J Emerg Crit Care Nurs,2022,3(1):89-91.
[9] 李镇洲,万建新. 局部枸橼酸抗凝在连续性肾脏替代治疗中的应用要点[J]. 中国血液净化,2021,20(12):797-800.
Li ZZ,Wan JX.Application of local citrate anticoagulation in continuous renal replacement therapy[J]. Chin J Blood Purif,2021,20(12):797-800.

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Nursing care of a patient with massive hemoptysis after lung transplantation undergoing rigid bronchoscopy under extracorporeal membrane oxygenation

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