Nursing care of a case of cardiogenic shock complicated with Tako-Tsubo cardiomyopathy treated by extracorporeal membrane pulmonary oxygen
10.3760/cma.j.issn.1672-7088.2019.16.015
- VernacularTitle: 一例体外膜肺氧合治疗Tako-Tsubo心肌病并发心源性休克患者的护理
- Author:
Juanjuan LU
1
;
Fei ZENG
;
Xiaojuan JIN
;
Yan ZHOU
Author Information
1. Binjiang Comprehensive Care Unit, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310000, China
- Publication Type:Journal Article
- Keywords:
Nursing care;
Cardiogenic shock;
Tako-Tsubo cardiomyopathy;
Extracorporeal membrane oxygenation
- From:
Chinese Journal of Practical Nursing
2019;35(16):1273-1277
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To introduce the nursing care of a case of Tako-Tsubo cardiomyopathy treated with extracorporeal membrane oxygenation (ECMO) and to improve the understanding of Tako-Tsubo cardiomyopathy and ECMO.
Methods:ECMO nursing group combined with medical treatment group was established to treat Tako-Tsubo cardiomyopathy patients with ECMO, special nursing, division of labor, close monitoring of vital signs and related indicators of Tako-Tsubo cardiomyopathy, ECMO nursing and prevention of complications.
Results:ECMO on board for 30 minutes, blood gas analysis was improved, the relative indexes of Tako-Tsubo cardiomyopathy were gradually improved after ECMO, the left ventricular ejection fraction gradually recovered after 2 days, and the wall motion gradually returned to normal. After 3 days, the value of serological biomarkers decreased obviously. After 4 days, ECMO therapy was stopped and ECMO tube was removed. After 5 days, tracheal intubation was removed. The patient was stable in condition and discharged from hospital after 41 days of inpatient treatment.
Conclusions:A rapid and effective ECMO nursing team is an important guarantee for the successful treatment of patients. Close observation of the condition, good team cooperation and reasonable division of labor can be effective. To improve the prognosis of patients.
