羊水栓塞患者体外膜肺氧合治疗并发骨筋膜室综合征的护理

Nursing care of the amniotic fluid embolism complicated with osteofascial compartment syndrome after extracorporeal membrane oxygenation treatment

目的 总结1例羊水栓塞体外膜肺氧合(ECMO)治疗并发下肢骨筋膜室综合征(OCS)患者的护理经验。方法 主要护理要点有:(1)ECMO支持治疗的护理。(2)OCS的早期识别与评估。(3)床旁应用负压封闭引流技术及观察护理。(4)ICU日记帮助患者树立康复的正念,家庭和家属的支持,多学科协作制定康复计划。结果 经过133 d的精心护理,患者顺利出院。结论 及时有效的护理可有效缩短现有住院时间,使患者顺利恢复日常生活,提高OCS患肢康复后日常生活所需的稳定性、肌力、体力和平衡能力。

Objective To summarize the nursing experience of the lower limb osteofascial compartment syndrome(OCS)complicated with amniotic fluid embolism treated with extracorpored(ECNO).Method The main nursing points included:(1)nursing care for ECMO support therapy;(2)Early identification and evaluation of OCS;(3)Application of VSD negative pressure sealing drainage technology and observation nursing beside the bed;(4)ICU diaries helped patients establish a mindset for rehabilitation,with support from family and family members,and interdisciplinary collaboration to develop rehabilitation plans.Result After 133 d of careful care,the patient was successfully discharged from the hospital.Conclusion Timely and effective nursing can effectively shorten the existing hospitalization time,enable patients to smoothly recover from daily life,and improve the stability,muscle strength,physical strength,and balance ability required for daily life after the rehabilitation of the affected limb with OCS.