目的:分析呼吸窘迫综合征(respiratory distress syndrome,RDS)早产儿左室心肌纵向应变参数特征。方法:选取2019年1月-2023年1月在涟水县人民医院住院分娩的早产儿96例为研究对象,根据是否并发R D S分为观察组与对照组,采用倾向性评分...目的:分析呼吸窘迫综合征(respiratory distress syndrome,RDS)早产儿左室心肌纵向应变参数特征。方法:选取2019年1月-2023年1月在涟水县人民医院住院分娩的早产儿96例为研究对象,根据是否并发R D S分为观察组与对照组,采用倾向性评分匹配法进行1:1匹配,最终观察组与对照组48例成功配对。分析两组早产儿左室常规超声心动图参数[射血分数(LVEF)、短缩短率(LVFS)、舒张末期内径(LVEDD)],左室整体纵向应变(GLPS)参数[二腔心切面(GLPS-A2C)、三腔心切面(GLPS-A3C)、四腔心切面(GLPS-A4C)以及平均GLPS(Avg-GLPS)],左室各节段GLPS参数[前壁(GLPS-a)、后壁(GLPS-p)、下壁(GLPS-i)、前室间隔壁(GLPS-ais)、侧壁(GLPS-l)、后室间隔(GLPS-pis)、基底段(GLPS-bs)、中间段(GLPS-ms)、心尖段(GLPS-as)]。结果:两组早产儿LVEF、LVFS、LVEDD水平比较,差异无统计学意义(P>0.05);观察组GLPS-A2C、GLPS-A3C、GLPS-A4C、GLPS-Avg、GLPS-a、GLPS-p、GLPS-i、GLPS-l、GLPS-ais、GLPS-pis、GLPS-bs、GLPS-ms、GLPS-as水平均低于对照组,差异有统计学意义(P<0.05)。结论:相比于非RDS早产儿,并发RDS早产儿的左室纵向应变参数水平明显降低,RDS能引起早产儿左室心肌功能损害,并且可能早期就已存在。展开更多
总结1例左室心肌致密化不全并发暴发性心肌炎患者行体外膜肺氧合的护理。护理要点如下:机械循环辅助期间动态监测患者生命体征变化;加强管道的护理,预防非计划性拔管;实施checklist清单交接管理;加强皮肤护理,降低压力性损伤风险;置管...总结1例左室心肌致密化不全并发暴发性心肌炎患者行体外膜肺氧合的护理。护理要点如下:机械循环辅助期间动态监测患者生命体征变化;加强管道的护理,预防非计划性拔管;实施checklist清单交接管理;加强皮肤护理,降低压力性损伤风险;置管侧肢体缺血性损伤的监测及护理;动态调整抗凝策略,加强血栓及出血管理;落实集束化护理措施,防范和控制感染。患者经过18天的精细化治疗与护理后康复出院。This paper summarizes the nursing care of a patient with left ventricular noncompaction complicated with fulminant myocarditis undergoing extracorporeal membrane oxygenation. The key points of nursing care are as follows: dynamic monitoring of changes in the patient’s vital signs during mechanical circulatory assistance;strengthening the care of the tube to prevent unplanned extubation;implementing checklist handover management;strengthening skin care to reduce the risk of pressure injury;monitoring and nursing of ischemic injury of the cannulated limb;dynamically adjusting the anticoagulation strategy, strengthening the management of thrombosis and bleeding;implementing bundled nursing measures to prevent and control infection. The patient recovered and was discharged after 18 days of meticulous treatment and nursing.展开更多
文摘目的:分析呼吸窘迫综合征(respiratory distress syndrome,RDS)早产儿左室心肌纵向应变参数特征。方法:选取2019年1月-2023年1月在涟水县人民医院住院分娩的早产儿96例为研究对象,根据是否并发R D S分为观察组与对照组,采用倾向性评分匹配法进行1:1匹配,最终观察组与对照组48例成功配对。分析两组早产儿左室常规超声心动图参数[射血分数(LVEF)、短缩短率(LVFS)、舒张末期内径(LVEDD)],左室整体纵向应变(GLPS)参数[二腔心切面(GLPS-A2C)、三腔心切面(GLPS-A3C)、四腔心切面(GLPS-A4C)以及平均GLPS(Avg-GLPS)],左室各节段GLPS参数[前壁(GLPS-a)、后壁(GLPS-p)、下壁(GLPS-i)、前室间隔壁(GLPS-ais)、侧壁(GLPS-l)、后室间隔(GLPS-pis)、基底段(GLPS-bs)、中间段(GLPS-ms)、心尖段(GLPS-as)]。结果:两组早产儿LVEF、LVFS、LVEDD水平比较,差异无统计学意义(P>0.05);观察组GLPS-A2C、GLPS-A3C、GLPS-A4C、GLPS-Avg、GLPS-a、GLPS-p、GLPS-i、GLPS-l、GLPS-ais、GLPS-pis、GLPS-bs、GLPS-ms、GLPS-as水平均低于对照组,差异有统计学意义(P<0.05)。结论:相比于非RDS早产儿,并发RDS早产儿的左室纵向应变参数水平明显降低,RDS能引起早产儿左室心肌功能损害,并且可能早期就已存在。
文摘总结1例左室心肌致密化不全并发暴发性心肌炎患者行体外膜肺氧合的护理。护理要点如下:机械循环辅助期间动态监测患者生命体征变化;加强管道的护理,预防非计划性拔管;实施checklist清单交接管理;加强皮肤护理,降低压力性损伤风险;置管侧肢体缺血性损伤的监测及护理;动态调整抗凝策略,加强血栓及出血管理;落实集束化护理措施,防范和控制感染。患者经过18天的精细化治疗与护理后康复出院。This paper summarizes the nursing care of a patient with left ventricular noncompaction complicated with fulminant myocarditis undergoing extracorporeal membrane oxygenation. The key points of nursing care are as follows: dynamic monitoring of changes in the patient’s vital signs during mechanical circulatory assistance;strengthening the care of the tube to prevent unplanned extubation;implementing checklist handover management;strengthening skin care to reduce the risk of pressure injury;monitoring and nursing of ischemic injury of the cannulated limb;dynamically adjusting the anticoagulation strategy, strengthening the management of thrombosis and bleeding;implementing bundled nursing measures to prevent and control infection. The patient recovered and was discharged after 18 days of meticulous treatment and nursing.
