一例体外膜肺氧合联合应用连续肾脏替代疗法、主动脉球囊反搏及俯卧位通气救治产后心肌病患者的护理

Nursing care of a patient with postpartum cardiomyopathy treated by ECMO combined with CRRT,IABP and prone position ventilation

目的报告1例围生期心肌病患者应用体外膜肺氧合(ECMO)联合主动脉内球囊反搏植入术(IABP)、连续肾脏替代疗法(CRRT)和俯卧位通气的护理。方法组建多学科团队,采取精细化的多设备一体化管理措施及严格的院内感染控制,同时给予人文关怀和康复锻炼。结果经过47 d的精细化护理,患者生命体征稳定,病情好转出院。结论多学科团队指导下严密监测病情是患者治疗的前提。多设备一体化管理措施、严格的院内感染控制、人文关怀及早期康复活动能有效地改善产后心肌病患者的预后和生命质量。

Objective We reported nursing care of a patient with postpartum cardiomyopathy treated by extracorporeal membrane oxygenation(ECMO)combined with intra-aortic balloon pump(IABP),continuous renal replacement therapy(CRRT)and prone position ventilation.Methods Multidisciplinary cooperation was made to guide the monitor of patients'condition.Refined integrated management measures of multi-equipment were adopted and standardized management process was formulated.Strict requirements were made in treatment and nursing care to prevent hospitalized infection,humanistic care and rehabilitation exercise were conducted to improve patient′s quality of life.Results After 47 days of nursing care,the patient′s vital signs were stable,the condition was improved and then discharged.Conclusions Close observation under the guidance of multiple disciplines is an important prerequisite for the treatment.Integrative management of multi-equipment,strict control of hospitalized infection,humanistic care and rehabilitation exercise can effectively improve the prognosis and quality of life of perinatal cardiomyopathy patient.