行体外膜肺氧合治疗并发症的观察及护理  

Nursing and observation about complications of extracorporeal membrane oxygenation

作　　者：邝燕华[1] 李丽琼[1] 钟安敏[1] 

机构地区：[1]中山大学附属第一医院SICU,广州510080

出　　处：《中国实用护理杂志（中旬版）》2007年第10期13-14,共2页Chinese Journal of Practical Nursing

摘　　要：目的探讨行体外膜肺氧合（ECMO）治疗并发症的观察及护理要点。方法对8例因心肺功能不全而在术中或术后建立ECMO的患者，对治疗过程中出现的并发症进行分析和总结。结果8例患者使用ECMO时间为4～81h，4例患者能顺利脱离ECMO,4例不能脱机，其中2例因心跳停止不能恢复，1例出血不止，1例因怀疑肺栓塞而放弃。结论出血仍是ECMO最主要的并发症，使用肝素涂层的膜肺和管道并合理应用肝素，是减少出血的方法之一。Objective In order to know the clinical observation and nursing points for patients with complications of extracorporeal membrane oxygenation. Methods Summarized the nursing and observative points for 8 patients with complications of extracorporeal membrane oxygenation. Results The time of using extracorporeal membrane oxygenation in this group was 4-81 hours. There were 4 patients had deviated ECMO successfully, the others failed. Conclusion Hemorrhage was the major complication for ECMO, properly using heparin can avoid it effectively.

关 键 词：体外膜肺氧合 并发症 护理 

分 类 号：R459.6[医药卫生—治疗学]