This paper summarizes the nursing experience of a 65-year-old elderly patient with fulminant myocarditis complicated by cardiogenic shock who received veno-arterial extracorporeal membrane oxygenation(V-A ECMO)combine...This paper summarizes the nursing experience of a 65-year-old elderly patient with fulminant myocarditis complicated by cardiogenic shock who received veno-arterial extracorporeal membrane oxygenation(V-A ECMO)combined with intra-aortic balloon pump(IABP)support therapy.The core nursing measures included:establishing a multidisciplinary collaboration team to implement daily goal management;standardized anticoagulation monitoring;refined hemodynamic management;stepped respiratory support;and early rehabilitation intervention.After 9 days of ECMO support combined with 5 days of IABP support,the patient’s cardiac and respiratory functions recovered.The patient was discharged on the 42nd day and was fully recovered during the follow-up on the 60th day.This case suggests that refined nursing care for ECMO combined with IABP is the key to the treatment of fulminant myocarditis.展开更多
文摘This paper summarizes the nursing experience of a 65-year-old elderly patient with fulminant myocarditis complicated by cardiogenic shock who received veno-arterial extracorporeal membrane oxygenation(V-A ECMO)combined with intra-aortic balloon pump(IABP)support therapy.The core nursing measures included:establishing a multidisciplinary collaboration team to implement daily goal management;standardized anticoagulation monitoring;refined hemodynamic management;stepped respiratory support;and early rehabilitation intervention.After 9 days of ECMO support combined with 5 days of IABP support,the patient’s cardiac and respiratory functions recovered.The patient was discharged on the 42nd day and was fully recovered during the follow-up on the 60th day.This case suggests that refined nursing care for ECMO combined with IABP is the key to the treatment of fulminant myocarditis.
