体外受精–胚胎移植妊娠并发肺结核患者应用体外膜肺氧合治疗预防出血并发症的护理

Nursing Care of Patients with in Vitro Fertilization-Embryo Transfer Pregnancy Complicated with Pulmonary Tuberculosis Applying Extracorporeal Membrane Oxygenation to Prevent Bleeding Complications

摘要: 总结：1例体外受精–胚胎移植(in-vitro fertilization and embryo transfer, IVF-ET)妊娠患者并发肺结核导致成人急性呼吸窘迫综合征(ARDS)应用体外膜肺氧合(extracorporeal membrane oxygenation, ECMO)治疗88天，得出预防出血并发症的护理经验。护理要点：成立医护专班确保措施落实；针对性预防出血并发症：预防气道出血，预防消化道出血、预防子宫出血、预防穿刺点及伤口出血；动态监测凝血功能，确保体外膜肺氧合治疗安全；加强心理干预。最终患者ECMO成功脱机拔管，未因出血并发症导致不良预后，患者康复出院。

Abstract: Summary: One case of in-vitro fertilization and embryo transfer (IVF-ET) pregnancy complicated with pulmonary tuberculosis leading to adult acute respiratory distress syndrome (ARDS) was treated with extracorporeal membrane oxygenation (ECMO) for 88 days, getting nursing experience in preventing bleeding complications. Nursing points: set up a special medical class to ensure the implementation of measures; targeted prevention of bleeding complications: prevention of airway bleeding, prevention of gastrointestinal bleeding, prevention of uterine bleeding, prevention of puncture point and wound bleeding; dynamic monitoring of coagulation function to ensure extracorporeal membrane oxygenation treatment safety; strengthening psychological intervention. In the end, the patient was successfully weaned and extubated on ECMO, and there was no adverse prognosis due to bleeding complications, and the patient recovered and was discharged from the hospital.