CAJ | 학술논문

目的总结在H7N9禽流感极危重症患者中,应用体外膜肺人工氧合法(ECMO)联合人工肝技术治疗的护理体会.方法选择10例H7N9禽流感极危重症患者,在ECMO+人工肝联合治疗过程中,通过仔细观察病情,严密消毒防护,做好接触隔离、发热对症处理、呼吸机气道管理、ECMO+人工肝管道护理及心理护理,加上四抗二平衡即抗病毒、抗低氧及多器官功能衰竭、抗休克、抗感染、维持微生态平衡、维持水电解质平衡的对症及支持治疗.结果 10例H7N9禽流感极危重患者中病情好转已成功撤除ECMO+人工肝治疗4例,其中1例已完全康复出院,另外6例状态稳定.结论对H7N9禽流感极危重症患者,给予全面、精心的护理,可促进患者早日康复.
목적 총결재H7N9금류감겁위중증환자중,응용체외막폐인공양합법(ECMO)연합인공간기술치료적호리체회.방법 선택10례H7N9금류감겁위중증환자,재ECMO+인공간연합치료과정중,통과자세관찰병정,엄밀소독방호,주호접촉격리、발열대증처리、호흡궤기도관리、ECMO+인공간관도호리급심리호리,가상사항이평형즉항병독、항저양급다기관공능쇠갈、항휴극、항감염、유지미생태평형、유지수전해질평형적대증급지지치료.결과 10례H7N9금류감겁위중환자중병정호전이성공철제ECMO+인공간치료4례,기중1례이완전강복출원,령외6례상태은정.결론 대H7N9금류감겁위중증환자,급여전면、정심적호리,가촉진환자조일강복.
Objective This research summarized the nursing experience of critically ill patients infected by H7N9 avian influenza who were treated with extracorporeal membrane oxygenation (ECMO) and artificial liver device.Methods 10 critically ill patients infected by H7N9 avian influenza were selected,during treatment of ECMO combined with artificial liver device,nursing care such as careful observation of the changes of symptoms,strict disinfection and protection,contact isolation,symptomatic treatment to fever,correct management of airway and ventilator circle,pipeline nursing of ECMO and artificial liver device,mental nursing,symptomatic and support therapy which included antivirus,anti-hypoxia and anti multiple organ failure,anti-shock,anti-infection,microecological balance maintenance and water-electrolyte balance maintenance.Results 4 critically ill patients infected by H7N9 avian influenza improved and removed ECMO and artificial liver device,among whom one patient rehabilitated and was discharged.Another 6 patients were in a steady state.Conclusions For critically ill patients infected by H7N9 avian influenza,comprehensive and elaborate care can facilitate early recovery of patients.