新生儿体外膜肺氧合下采用静脉留置针行胸腔闭式引流的护理  

Nursing of a newborn with closed thoracic drainage by intravenous indwelling catheter under the support of extracorporeal membrane oxygenation

作　　者：王媛 周红 符婕 丁丽雯 巨容 吴娜娜 陈霞 WANG Yuan;ZHOU Hong;FU Jie;DING Liwen;JU Rong;WU Nana;CHEN Xia

机构地区：[1]电子科技大学医学院附属妇女儿童医院/成都市妇女儿童中心医院新生儿科,成都市611731

出　　处：《中华急危重症护理杂志》2023年第7期600-603,共4页Chinese Journal of Emergency and Critical Care Nursing

基　　金：国家自然科学基金(82171697);四川省医学会青年创新课题(S21081);2022年四川省妇幼医学科技创新课题(重点课题22FXZD05)。

摘　　要：总结1例新生儿体外膜肺氧合(extracorporeal membrane oxygenation,ECMO)支持期间采用静脉留置针行胸腔闭式引流的护理体会。针对胎粪吸入综合征(meconium aspiration syndrome,MAS)的新生儿ECMO支持期间实施胸腔闭式引流护理,采取全程个体化护理措施,包括ECMO静脉留置针胸腔闭式引流的护理、出血事件应对、气道护理、疼痛干预、感染防控。经过精心治疗和护理,患儿病情稳定出院,出院后随访患儿状况良好。To summarize the experience of a newborn with closed thoracic drainage by intravenous indwelling catheter during the support of extracorporeal membrane oxygenation(ECMO).Aimed at the nursing of closed thoracic drainage during ECMO support for the newborn with meconium aspiration syndrome(MAS),individualized nursing measures in the whole process were adopted,including nursing of closed thoracic drainage by intravenous indwelling catheter,response of bleeding event,airway care,infection prevention and control,pain intervention,combination of lung protection and prone position ventilation.After careful treatment and nursing,the patient was discharged steadily,and the follow-up of the patient was in good condition after discharge.

关 键 词：体外膜肺氧合 新生儿护理 胸腔穿刺术 引流 危重病护理 

分 类 号：R473.72[医药卫生—护理学]