文丽娜,黄春翠,彭倩,张波.1例VA-ECMO支持下TAVR治疗高危主动脉瓣重度狭窄合并心肺衰竭患者的护理报道[J].上海护理,2023,23(11):
1例VA-ECMO支持下TAVR治疗高危主动脉瓣重度狭窄合并心肺衰竭患者的护理报道
Nursing report of a patient with high-risk severe aortic stenosis complicated with cardiopulmonary failure treated with TAVR under the support of VA-ECMO
DOI:
中文关键词:  动脉-静脉体外膜肺氧合、经导管主动脉瓣置换术、呼吸机、护理经验
英文关键词:Arterio-venous extracorporeal membranous oxygenator,transcatheter aortic valve replacement,Ventilator support,nursing experience
基金项目:广西壮族自治区卫生健康委员会自筹经费科研课题(合同编号:Z20210129)
作者单位E-mail
文丽娜 广西壮族自治区人民医院 43310694@qq.com 
黄春翠 广西壮族自治区人民医院  
彭倩 广西医科大学第二附属医院  
张波* 广西壮族自治区人民医院 1401597225@qq.com 
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中文摘要:
      本文通过报道1例动脉-静脉体外膜肺氧合(Arterio-venous extracorporeal membranous oxygenator,VA-ECMO)支持下经导管主动脉瓣置换术(transcatheter aortic valve replacement, TAVR)治疗心肺功能不全高危主动脉瓣重度狭窄患者的护理经验,详细描述了病例诊疗经过、病例病情监测和评估、ECMO支持下的转运、呼吸机及气管切开的护理、ECMO支持期间的注意事项、TAVR术后并发症的管理及术后康复方案,经过2月余精心治疗,患者康复出院。
英文摘要:
      This article reports the nursing experience of a patient with severe stenosis of aortic valve at high risk of cardiopulmonary insufficiency treated by transcatheter aortic valve replacement (TAVR) supported by arterial-venous extracorporeal membrane oxygenation (VA-ECMO), and describes in detail the diagnosis and treatment process of the case, the monitoring and evaluation of the condition of the case, the transport supported by ECMO, the nursing of ventilator and tracheotomy Precautions during ECMO support, management of complications after TAVR and postoperative rehabilitation plan. After more than 2 months of careful treatment, the patient recovered and discharged.
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