体外膜肺氧合患者凝血功能障碍的监测和护理进展

Monitoring and nursing progress of coagulation dysfunction in patients with extracorporeal membrane oxygenation

本文从体外膜肺氧合支持患者凝血功能障碍的发生机制、出血及血栓形成的高风险因素、抗凝的监测指标、凝血功能障碍的用药、评估与护理等方面进行综述,旨在为体外膜肺氧合患者的抗凝管理策略的制订提供依据。

This review summarized the pathogenesis of coagulation dysfunction,high-risk factors for bleeding and thrombosis,monitoring indicators for anticoagulation,drug therapy for coagulation dysfunction,assessment and nursing interventions for coagulation dysfunction in patients supported by extracorporeal membrane oxygenation,with the aim of providing evidence-based strategies for anticoagulation management in extracorporeal membrane oxygenation patients.