摘要
目的 浅析在Stanford A型主动脉夹层患者术后应用ECMO联合CRRT干预是护理要点。方法 样本对象为我院ICU中接受主动脉夹层术后再进行ECMO联合CRRT干预的8例Stanford A型主动脉夹层患者，开展小剂量静脉泵入肝素、避免使用损伤肾功能药物以及心理疏导等综合护理措施，分析护理效果。结果 8例患者中4例痊愈出院，3例术后严重感染并多脏器功能衰竭死亡，1例家属放弃治疗自动出院；护理总满意率为100.00%。结论 ECMO联合CRRT作为一种新型的呼吸循环肾脏支持技术，虽然治疗效果理想，但也容易引发相关并发症，护理开展过程中护士需要熟练以上技术工作原理，开展并发症预见性等综合护理，保证治疗的有效性。
关键词： Stanford A型主动脉夹层；ECMO；CRRT；护理干预
Abstract
Objective To analyze the key nursing points of using ECMO combined with CRRT intervention in patients with Stanford type A aortic dissection after surgery. Methods The sample subjects were 8 Stanford A type aortic dissection patients who underwent ECMO combined with CRRT intervention after undergoing aortic dissection surgery in our hospital's ICU. Comprehensive nursing measures such as low-dose intravenous infusion of heparin, avoiding the use of renal function damaging drugs, and psychological counseling were carried out to analyze the nursing effects. Results Among the 8 patients, 4 recovered and were discharged, 3 died of severe postoperative infection and multiple organ failure, and 1 family member voluntarily gave up treatment and was discharged; The total satisfaction rate of nursing is 100.00%. Conclusion ECMO combined with CRRT, as a new type of respiratory and circulatory kidney support technology, although the treatment effect is ideal, it is also prone to related complications. During the nursing process, nurses need to be proficient in the above technical working principles, carry out comprehensive nursing care such as predicting complications, and ensure the effectiveness of treatment.
Key words： Stanford type A aortic dissection; ECMO; CRRT; Nursing interventions
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