1例前纵隔淋巴瘤并发严重气道梗阻患儿的护理  

Nursing care of a child with anterior mediastinal lymphoma complicated with severe airway obstruction

作　　者：谢王芳[1] 楼晓芳[2] 诸纪华[2] 徐彬[3] XIE Wangfang;LOU Xiaofang;ZHU Jihua;XU Bin

机构地区：[1]浙江大学医学院附属儿童医院综合ICU,杭州市310003 [2]浙江大学医学院附属儿童医院护理部,杭州市310003 [3]浙江大学医学院附属儿童医院超声科,杭州市310003

出　　处：《中华护理杂志》2021年第2期269-272,共4页Chinese Journal of Nursing

基　　金：2019年浙江省卫生厅课题资助项目(2019KY440);2020年浙江省卫生厅课题资助项目(2020KY613)。

摘　　要：总结1例前纵隔淋巴瘤并发严重气道梗阻患儿的抢救和护理体会。包括严密的观察和监测患儿病情,心肺复苏下迅速有效应用体外膜肺氧合进行救治;在体外膜肺运行期间密切观察患儿生命体征,动态评估气道梗阻症状,加强气道管理和监测。经过精心的治疗和护理,体外膜肺机运行70.5 h后成功撤离,患儿于入科第7天病情恢复平稳,转至血液科继续进行专科治疗。The rescue and nursing of a child with anterior mediastinal lymphoma complicated with severe airway obstruction were summarized. The operations include rigorous observation and monitoring of the child’s condition,rapid and effective applica tion of extracorporeal membrane oxygenation under cardiopulmonary resuscitation;close observation of the child’s vital signs during extracorporeal membrane oxygenation,dynamic assessment of airway obstruction symptoms. After careful treatment and nursing,the extracorporeal membrane oxygenation machine was successfully evacuated after 70.5 hours of operation. The child returned to a stable condition on the 7 th day of admission and was transferred to the department of hematology for continuous specialized treatment.

关 键 词：体外膜肺氧合 淋巴瘤 气道梗阻 儿科护理学 

分 类 号：R473.73[医药卫生—护理学]