成人心脏病术后体外膜肺的护理
摘要
心脏病术后患者心功能障碍的发病率高达3%~5%,这部分患者大部分通过应用药物或主动脉球囊反搏可以脱离体外循环(CPB),然而还有1%的患者由于难以控制的心脏和,或肺脏功能障碍,需要较长时间的循环,呼吸支挣。体外膜肺(extracorporeal membrance oxygenation,ECMO)支持治疗可对心脏术后呼吸功能和/或心脏功能不全患者提供临时支持,使心脏和肺脏得到充分休息,但在高危患者中应用ECMO后相关并发症及病死率仍然很高。
出处
《中国实用护理杂志》
2008年第11期16-17,共2页
Chinese Journal of Practical Nursing
参考文献8
-
1Golding LAB. Postcardiotomy mechanical support. Semin Thorac Cardiovasc Surg, 1991, 3:29-33
-
2Muenhrcke DD, Mccarthy PM, Stewart RW,et al. Complications of extracorporeal life support systems using heparinbound surfaces. J Thorac Cardiovasc Surg, 1995,110:843-857
-
3Smith C, Bellomo R, Baman JS,et al. An extracorporeal membrane oxygenation-based approach to cardiogenie shock in an older population. An Thorae Surg, 2001,71:1421-1427
-
4Extracorporeal Life Support Organization (ELSO). ELSO registry report international summary.Int Artig Org,2006( 1 ) : 11
-
5Borger MA, Peniston CM, Weisel RD, et al. Decreasing incidence of stroke dufingvalvular surgery. Circulation, 1998,98(19):137-143
-
6Jurmann MJ, Haverich A, Demertzis S,et al. Extracorporeal membrane oxygenation (ECMO): extended indications for artificial support for both heart and lungs. Int J Artig Org, 1991,14:771-774
-
7龙村,主编.ECMO手册.北京:人民卫生出版社,2007.41-50.
-
8龙村,冯正义,刘晋萍,于昆,黑飞龙.心脏术后体外膜式氧合器支持治疗的临床应用[J].中国体外循环杂志,2005,3(4):230-232. 被引量:19
二级参考文献10
-
1[1]Golding LAR. Postcardiotomy mechanical support [ J ]. Semin Thorac Cardiovasc Surg,1991,3:29 -33.
-
2[2]Muenhrcke DD, Mccarthy PM, Stewart RW, et al. Complications of extracorporeal life support systems using heparinbound surfaces. The risk of intracardiac clot formation [ J ]. J Thorac Cardiovasc Surg, 1995,110: 843 - 857.
-
3[3]Smith C, Bellomo R, Raman JS, et al. An extracorporeal membrane oxygenation - based approach to cardiogenic shock in an older population[J]. An Thorac Surg,2001,71:1421 - 1427.
-
4[4]Borger MA,Peniston CM, Weisel RD, et al. Decreasing incidence of stroke during valvular surgery[ J]. Circulation, 1998,98( 19 ): Ⅱ137 - 143.
-
5[5]Jurmann MJ, Haverich A, Demertzis S, et al. Extracorporeal membrane oxygenation( ECMO ) :extended indications for artificial support for both heart and lungs[J]. Int J Artig Org,1991,14:771 - 774.
-
6[6]Taylor KM. Brain damages during cardiopulmonary bypass[ J].Ann Thorac Surg,1998,65(4 ) :s20 -26;s27 -28.
-
7[7]Smerdia NG, Blackstone EH. Postcardiotomy mechanical support:risk factors and outcomes[J]. Ann Thorac Surg,2001,71 :s60.
-
8[8]Jaggers JJ, Forbess JM, Shah AS, et al. Excorporeal menbrane oxygenator for infant postcardiotomy support:significance of shunt management[J]. Ann Thorac Surg,2000,69:1476.
-
9[9]Zwischenberger JB. ECMO extracorpreal cardiopulmonary support in critical care[ M ]. 2nd. Extracorporeal Life Support Organization, 2000, 295 - 590.
-
10[10]Doll N, Kiaii B, Borger M, et al. Five -year results of 219consecutive patients treated with extracorporeal membrane oxygenation for refractory postoperative cardiogenic shock[ J]. Ann Thorac Surg,2004,77:151 - 157.
共引文献24
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1赵举,刘晋萍,冯正义,黑飞龙,胡盛寿,刘迎龙,沈向东,李守军,王旭,龙村.12例心脏病术后患儿体外膜肺的临床结果及经验[J].中国小儿急救医学,2006,13(5):417-420. 被引量:13
-
2高峰,杨碧波,马旭东,高文德,崔仲奇,刁国华.急性心肌梗死后冠状动脉旁路移植术时机选择[J].中华胸心血管外科杂志,2007,23(5):308-310. 被引量:4
-
3张福维,何振波,李东涛,梁友君.慢性缩窄性心包炎外科治疗42例[J].中国胸心血管外科临床杂志,2007,14(5):400-400. 被引量:1
-
4龙村,胡盛寿,刘晋萍,孙寒松,黑飞龙,高国栋,宋云虎,刘迎龙,于坤,孙立忠,李景文.体外膜肺氧合支持治疗39例心肺功能衰竭患者的临床经验[J].中国循环杂志,2007,22(5):373-376. 被引量:18
-
5闫晓蕾,李群,于洋,侯晓彤,杨勇,万久贺,贾明,孟旭,贾世杰.体外膜式氧合在冠心病外科治疗中的临床应用[J].中华外科杂志,2007,45(24):1714-1716. 被引量:4
-
6林茹,谈林华,张泽伟,孙眉月,杜立中.体外膜氧合成功救治新生儿心脏术后严重低心排综合征一例[J].中华儿科杂志,2008,46(1):26-29. 被引量:11
-
7李景文,龙村,崔勇丽,高国栋,黑飞龙,于坤.体外膜式氧合支持治疗患者血乳酸浓度的变化(英文)[J].中国组织工程研究与临床康复,2008,12(14):2789-2792. 被引量:1
-
8管玉珍.体外膜肺在鱼精蛋白过敏患者护理中的应用[J].实用临床医药杂志(护理版),2009,5(9):73-74.
-
9段大为,李彤,赵成秀,张文芳,胡晓旻,吴鹏,张强.常规体外循环与闭式体外循环相互转换在心脏手术中的管理[J].中国体外循环杂志,2009,7(4):226-228.
-
10温迎君,陈军.先天性心脏病患儿应用体外膜肺氧合技术并发症的护理[J].中国实用护理杂志(中旬版),2010(2):46-48. 被引量:2
-
1张云涛,田晓燕.阿魏酸钠治疗慢性心功能不全的疗效观察[J].中国冶金工业医学杂志,2010,27(3):264-265.
-
2章璐,黄金鹏,樊蓉,许书添,刘胜凤,刘丽,吕桂兰.1例多器官功能衰竭体外膜肺联合连续性血液净化治疗的护理[J].护理学杂志(综合版),2012,27(8):33-34. 被引量:9
-
3张晶,樊寻梅.体外膜肺期间脑血流及脑代谢的研究进展[J].中华儿科杂志,1999,37(7):448-450.
-
4唐建伟,杨辰垣.体外膜肺治疗呼吸功能衰竭的实验研究[J].四川医学,2000,21(10):895-896. 被引量:1
-
5急性呼吸衰竭动物实验获重大突破[J].中华医学信息导报,2003,18(16):9-9.
-
6孟薇.结核病合并急腹症诊治分析[J].中外医疗,2009,28(8):175-175.
-
7于桂青.围术期呼吸护理对肺癌患者术后呼吸功能的影响[J].国际护理学杂志,2014,33(6):1281-1283. 被引量:3
-
8周玉清.情景模拟在胸外科患者围手术期呼吸道护理中的应用[J].中国误诊学杂志,2009,9(17):4078-4079.
-
9程应秀,金玲,贺红梅,罗素梅.呼吸训练护理对肺癌手术患者术后适应情况的影响[J].国际护理学杂志,2014,33(2):291-292. 被引量:13
-
10蔡坤燕.应用体外膜肺治疗重症肺炎的护理[J].中外医疗,2014,33(6):160-161.