1例体外膜肺氧合联合主动脉球囊反搏辅助下行PCI救治心源性休克患者的护理  

Nursing care of a patient with cardiogenic shock treated by percutaneous coronary intervention assisted by extracorporeal membrane oxygenation combined with intra-aortic balloon pump

作　　者：王彦哲 赵静[2] 杨春晓[1] 闫春林[2] 郝恩刚 孙洪敏 杨岳武 WANG Yanzhe;ZHAO Jing;YANG Chunxiao;YAN Chunlin;HAO Engang;SUN Hongmin;YANG Yuewu(Interventional Clinic,the Second People′s Hospital of Liaocheng(the Second Hospital Affiliated to Shandong First Medical University),Liaocheng 252600,China;Department of Nursing,the Second People′s Hospital of Liaocheng(the Second Hospital Affiliated to Shandong First Medical University),Liaocheng 252600,China;Department of Cardiology,the Second People′s Hospital of Liaocheng(the Second Hospital Affiliated to Shandong First Medical University),Liaocheng 252600,China)

机构地区：[1]山东省聊城市第二人民医院(山东第一医科大学附属聊城二院)介入诊疗室,聊城252600 [2]山东省聊城市第二人民医院(山东第一医科大学附属聊城二院)护理部,聊城252600 [3]山东省聊城市第二人民医院(山东第一医科大学附属聊城二院)心内科,聊城252600

出　　处：《当代护士（上旬刊）》2024年第7期103-107,共5页Modern Nurse

基　　金：山东省医药卫生科技发展计划项目(202103010807);山东省中医药科技项目(2021M030)。

摘　　要：总结1例体外膜肺氧合(extracorporeal membrane oxygenation,ECMO)联合主动脉内球囊反搏辅助下行冠状动脉介入治疗救治急性心肌梗死伴心源性休克患者的手术护理经验。护理要点如下:采用多学科联合模式,组建“介入+ECMO团队”,规范手术站位及手术流程,做好冠状动脉介入治疗的术中配合及体外膜肺氧合、主动脉内球囊反搏的护理,术后做好转运及交接。患者手术过程顺利,围手术期无并发症发生,该患者经过专业的治疗与护理,术后第4天撤除主动脉内球囊反搏,术后第8天成功撤除体外膜肺氧合,术后第10天转普通病房治疗,术后第15天出院,随访时患者状态良好。Summarize the nursing experience of extracorporeal membrane oxygenation(ECMO)combined with intra-aortic balloon pump(IABP)assisted percutaneous coronary intervention(PCI)in the treatment of acute myocardial infarction complicated by cardiogenic shock.The main points of nursing are as follows:adopt a multi-disciplinary joint mode,set up an"intervention+ECMO team",standardize operation station and operation procedure,do a good job in the intraoperative coordination of PCI,do a good job in the nursing of ECMO and IABP,do a good job of transportation and handover after the operation.The operation process of the patient was smooth and no complications occurred during the perioperative period.After professional treatment and nursing,the patient removed IABP on the 4th day after the operation,successfully removed ECMO on the 8th day after the operation,and was transferred to the general ward on the 10th day after the operation.This patient was discharged from the hospital 15 days after the operation and was in good condition during the follow-up.

关 键 词：体外膜肺氧合 主动脉内球囊反搏 冠状动脉支架植入术 急性心肌梗死合并心源性休克 

分 类 号：R473.5[医药卫生—护理学]