Welcome to visit Zhongnan Medical Journal Press Series journal website!

Home Articles Vol 36,2023 No.11 Detail

Nursing care of a child with fulminant myocarditis treated with ECMO, IABP and CRRT

Published on Nov. 28, 2023Total Views: 1232 times Total Downloads: 364 times Download Mobile

Author: Jie ZHANG Wei-Mei YANG Jie CHENG

Affiliation: Department of Cardiovascular Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China

Keywords: Fulminant myocarditis Extracorporeal membrane oxygenation Intra-aortic balloon pump Continuous renal replacement therapy Nursing

DOI: 10.12173/j.issn.1004-4337.202310009

Reference: Zhang J, Yang WM, Cheng J. Nursing care of a child with fulminant myocarditis treated with ECMO, IABP and CRRT[J]. Journal of Mathematical Medicine, 2023, 36(11): 856-862. DOI: 10.12173/j.issn.1004-4337.202310009[Article in Chinese]

  • Abstract
  • Full-text
  • References
Abstract

Fulminant myocarditis is characterized as acute onset, severe condition, rapid progression, and high early mortality rate. Reasonable treatment and nursing are crucial to the prognosis of patients. This paper summarized the nursing experience of a child with severe fulminant myocarditis treated with extracorporeal membrane oxygenation (ECMO), intra-aortic balloon pump (IABP), and continuous renal replacement therapy (CRRT), including the key points of circulatory support nursing, renal replacement support nursing, respiratory support nursing, common complication prevention and nursing, etc. After treatment and nursing by the medical team, the patient's condition improved and was discharged.

Full-text
Please download the PDF version to read the full text: download
References

1.Wang D, Li S, Jiang J, et al. Chinese society of cardiology expert consensus statement on the diagnosis and treatment of adult fulminant myocarditis[J]. Sci China Life Sci, 2019, 62(2): 187-202. DOI: 10.1007/s11427-018-9385-3.

2.Kociol RD, Cooper LT, Fang JC, et al. Recognition and initial management of fulminant myocarditis: a scientific statement from the American Heart Association[J]. Circulation, 2020, 141(6): e69-e92. DOI: 10.1161/cir.0000000000000745.

3.Chong SZ, Fang CY, Fang HY, et al. Associations with the in-hospital survival following extracorporeal membrane oxygenation in adult acute fulminant myocarditis[J]. J Clin Med, 2018, 7(11): 452. DOI: 10.3390/jcm7110452.

4.褚志祥, 王猛, 朱海燕. 爆发性心肌炎的诊治进展[J]. 临床急诊杂志, 2019, 20(9): 687-691. [Chu ZX, Wang M, Zhu HY. The progress of diagnosis and treatment of fulminant myocarditis[J]. Journal of Clinical Emergency, 2019, 20(9): 687-691.] DOI: 10.13201/j.issn.1009-5918.2019.09.006.

5.辜刚建, 秦臻, 罗明, 等. 体外膜肺氧合在急性爆发性心肌炎治疗中的应用[J]. 中国体外循环杂志, 2017,  15(4): 252-256. [Gu GJ, Qin Z, Luo M, et al. Application of extracorporeal membrane oxygenation in the treatment of acute explosive myocarditis[J]. Chinese Journal of Extracorporeal Circulation, 2017, 15(4): 252-256.] DOI: 10.13498/j.cnki.chin.j.ecc.2017.04.17.

6.何小龙, 王文鑫, 张鑫, 等. 机械循环辅助装置在爆发性心肌炎中应用的研究进展[J]. 实用医学杂志,  2023, 39(12): 1461-1465. [He XL, Wang WX, Zhang X, et al. Research progress in the application of mechanical circulatory support in fulminant myocarditis[J]. The Journal of Practical Medicine, 2023, 39(12): 1461-1465.] DOI: 10.3969/j.issn.1006-5725.2023.12.001.

7.中华人民共和国国家卫生健康委员会. 血液净化标准操作规程(2021版)[S]. (2021-11-19). [National Health Commission of the People's Republic of China. Standard operating procedures for blood purification (2021 edition)[S]. (2021-11-19).] http://www.nhc.gov.cn/yzygj/s7659/202111/6e25b8260b214c55886d6f0512c1e53f.shtml.

8.王淑芹, 万娜, 张煜, 等. 体外膜肺氧合联合主动脉内球囊反搏救治暴发性心肌炎患者的护理[J]. 中华急危重症护理杂志, 2020, 1(5): 451-454. [Wang SQ, Wan N, Zhang Y, et al. Nursing care of patients with fulminant myocarditis treated by extracorporeal membrane oxygenation combined with intra-aortic balloon pump[J]. Chinese Journal of Emergency and Critical Care Nursing, 2020, 1(5): 451-454.] DOI: 10.3761/j.issn.2096-7446.2020.05.016.

9.李云. ECMO联合CRRT在急性暴发性心肌炎致心脏骤停患儿救治中的应用与护理[J]. 当代护士, 2022, 29(12): 152-156. [Li Y. Application and nursing of ECMO combined with CRRT in the treatment of children with sudden cardiac arrest caused by acute fulminant myocarditis[J]. Modern Nurse, 2022, 29(12): 152-156.] DOI: 10.19791/j.cnki.1006-6411.2022.34.046.

10.中国心肺康复护理联盟专业委员会, 武汉市护理学会心血管专业委员会. 成人暴发性心肌炎护理策略专家共识[J]. 护理学杂志, 2021, 36(1): 1-6. [Committee of Chinese Cardiopulmonary Rehabilitation Nursing Alliance, Cardiovascular Committee of Wuhan Nursing Association. Expert consensus on nursing strategy of fulminant myocarditis in adults[J]. Journal of Nursing Science, 2021, 36(1): 1-6.] DOI: 10.3870/j.issn.1001-4152.2021.01.001.  

11.余毅, 王琰, 黄继义. 几种连续肾脏替代治疗技术的优缺点比较[J]. 中国血液净化, 2021, 20(12): 801-804. [Yu Y, Wang Y, Huang JY. Comparison of the advantages and disadvantages of several continuous renal replacement therapy technologies[J]. Chinese Journal of Blood Purification, 2021, 20(12): 801-804.] DOI: 10.3969/j.issn.1671-4091.2021.12.003.

12.盖玉彪, 赵丽, 于雅洁, 等. 应用ECMO技术救治重症肺炎患者的护理体会[J].当代护士, 2019, 26(11): 89-91. [Gai YB, Zhao L, Yu YJ, et al. Nursing experience of applying ECMO technology to treat severe pneumonia patients[J]. Modern Nurse, 2019, 26(11): 89-91.] https://d.wanfangdata.com.cn/periodical/ddhs-zkb201911040.

13.中国医师协会体外生命支持专业委员会儿科学组, 中国医师协会儿童重症医师分会体外生命支持委员会, 中华医学会儿科分会急救学组, 等. 体外膜氧合支持儿科暴发性心肌炎专家共识[J]. 中华急诊医学杂志, 2020, 29(1): 36-42. [Pediatric Group of the Extracorporeal Life Support Professional Committee of the Chinese Medical Association, Extracorporeal Life Support Committee of the Pediatric Intensive Care Branch of the Chinese Medical Association, Emergency Group of the Pediatric Branch of the Chinese Medical Association, et al. Expert consensus on extracorporeal membrane oxygenation support for pediatric fulminant myocarditis[J]. Chinese Journal of Emergency Medicine, 2020, 29(1): 36-42.] DOI: 10.3760/cma.j.issn.1671-0282.2020.01.005.

14.陆丽娟, 张帆, 管志敏, 等. 暴发性心肌炎患者容量管理方案的制订及实践[J]. 中华急危重症护理杂志, 2021, 2(2): 127-131. [Lu LJ, Zhang F, Guan ZM, et al. Nursing practice of fluid management in patients with fulminant myocarditis[J]. Chinese Journal of Emergency and Critical Care Nursing, 2021, 2(2): 127-131.] DOI: 10.3761/j.issn.2096-7446.2021.02.006.

15.中华医学会心血管病学分会精准医学学组, 中华心血管病杂志编辑委员会, 成人暴发性心肌炎工作组. 成人暴发性心肌炎诊断与治疗中国专家共识[J]. 中华心血管病杂志, 2017, 45(9): 742-752. [Precision Medicine Group of the Cardiovascular Branch of the Chinese Medical Association, Editorial Committee of the Chinese Journal of Cardiovascular Disease, Working Group on Adult Outbreak Myocarditis. Chinese expert consensus on the diagnosis and treatment of adult fulminant myocarditis[J]. Chinese Journal of Cardiology, 2017, 45(9): 742-752.] DOI: 10.3760/cma.j.issn.0253-3758.2017.09.004.

16.Paden ML, Rycus PT, Thiagarajan RR, et al. Update and outcomes in extracorporeal life support[J]. Semin Perinatol, 2014, 38(2): 65-70. DOI: 10.1053/j.semperi.2013.11.002.

17.中国医师协会体外生命支持专业委员会. 成人体外膜氧合循环辅助专家共识[J]. 中华医学杂志,  2018, 98(12): 886-894. [Professional Committee for Extracorporeal Life Support of the Chinese Medical Doctor Association. Expert consensus on adult extracorporeal membrane oxygenation circulation assistance[J]. National Medical Journal of China, 2018, 98(12): 886-894.] DOI: 10.3760/cma.j.issn.0376-2491.2018.12.003.

18.刘慧, 李付华, 张苇, 等. ECMO联合IABP及CRRT治疗重症暴发性心肌炎患者的护理体会[J]. 河南外科学杂志, 2019, 25(6): 164-166. [Liu H, Li FH, Zhang W, et al. Nursing experience of ECMO combined with IABP and CRRT in the treatment of severe fulminant myocarditis patients[J]. Henan Journal of Surgery, 2019, 25(6): 164-166.] DOI: 10.16193/j.cnki.hnwk.2019.06.097.

19.程念开, 朱万芳, 顾肖. 1例暴发性心肌炎致心搏骤停实施ECMO联合CRRT的护理[J]. 全科护理, 2020, 18(22): 2940-2943. [Cheng NK, Zhu WF, Gu X. Nursing care of a case of sudden cardiac arrest caused by fulminant myocarditis treated with ECMO combined with CRRT[J]. Chinese General Practice Nursing, 2020, 18(22): 2940-2943.] DOI: 10.12104/j.issn.1674-4748.2020.22.052.

20.高国栋, 黑飞龙, 吉冰洋, 等. 128例成人体外膜肺氧合支持治疗患者相关并发症回顾分析[J].中国分子心脏病学杂志, 2015, 15(1): 1197-1201. [Gao GD, Hei FL, Ji BY, et al. Retrospective analysis of complications of 128 adult patients managed by extracorporeal membrane oxygenation in Fuwai hospital[J]. Molecular Cardiology of China, 2015, 15(1): 1197-1201.] DOI: 10.16563/j.cnki.1671-6272.2015.01.007.

Popular papers
Last 6 months