摘要
目的探讨器官捐献脑死亡判定中的护理配合方法。方法总结吉林大学第一医院神经创伤外科2019年6月至2020年5月93例患者脑死亡判定的护理配合要点。提前预判脑死亡情况与医生及时沟通,确定脑死亡判定启动时间点;合理布局床旁仪器,预留脑死亡判定操作空间;监测生命体征,调整升压药物使用;快速完成自主呼吸激发试验的动脉血气抽取。结果脑死亡判定93例,成功捐献89例,完成肝脏移植76例,完成肾脏移植164例。脑死亡判定确认试验完成情况:脑电图89例(95.7%),经颅多普勒超声88例(94.6%),正中神经短潜伏期体感诱发电位55例(59.1%)。72例(77.4%)完成脑死亡自主呼吸激发试验,其中动脉留置针进行动脉血气抽取病例为12例(16.6%)。结论熟知脑死亡判定流程,优质的护理配合,是保证脑死亡判定快速顺利完成的重要环节。
Objective To explore the nursing cooperation for brain death determination in Organ donation.Methods We summarized the main points of nursing cooperation for brain death determination to the patients hospitalized in the department of neurosurgery from June 2019 to May 2020.The nurses predicted brain death and helped doctor to determine the starting time of brain death determination.They placed reasonably bedside instruments and reserved the operation space for brain death determination.Meanwhile,they monitored vital signs and adjusted the use of vasopressor drugs according to clinical conditions.For the last point,they quickly collected the arterial blood for blood gas analysis during apnea testing.Results Among 93 patients with brain death,89 cases donated 76 livers and 164 kidneys.The ancillary tests of brain death included 89 cases(95.7%)of electroencephalogram,88(94.6%)of transcranial Doppler and 55(59.1%)of short-latency somatosensory evoked potential.The 72 cases(77.4%)completed apnea testing with 12 case(16.6%)of arterial blood gas analysis by arterial cannula.Conclusion Familiarity with the procedure of brain death determination and high-quality nursing cooperation are key to performing brain death determination successfully and quickly.
作者
王艳娟
李翰新
贾倩
李文臣
Wang Yanjuan;Li Hanxin;Jia Qian;Li Wenchen(Department of Neurotrauma,Jilin University First Hospital,Changchun,130021;Nursing School,Changchun Medical College,Changchun,130031,China)
出处
《现代临床护理》
2020年第12期30-34,共5页
Modern Clinical Nursing
基金
吉林省卫计委资助项目,项目编号为2015R002。
关键词
脑死亡
判定
器官捐献
护理配合
brain death
determination
organ donation
nursing cooperation
