1 Case of nursing care for a patient with IABP combined with ECMO treatment for fulminant myocarditis complicated by leakage syndrome
1例IABP联合ECMO治疗暴发性心肌炎并发渗漏综合征患者的护理

摘要

暴发性心肌炎（Fulminant Myocarditis, FM）是一类严重的心脏病炎症性疾病，起病急骤，病情进展极其迅速，患者在短时间内会出现血流动力学异常，表现为急性心力衰竭、心源性休克、严重心律失常，甚至猝死，早期病死率较高[1]。渗漏综合征指毛细血管渗漏综合征（Capillary leak syndrom, CLS）是因各种疾病所致的毛细血管内皮损伤，血管通透性增加，而引起大量血浆蛋白质、水分渗透到组织间隙；临床表现为全身进行性水肿、急性肾前性肾损伤、低血容量性休克、肺水肿，甚至是全身多脏器功能障碍[2]。暴发性心肌炎合并渗漏综合征患者病情重，疾病变化快，死亡率高，故为患者提供合理治疗的同时，应积极进行护理干预，以改善其临床症状。本文就我院收治的1例IABP联合ECMO治疗暴发性心肌炎并发渗漏综合征患者的护理进行分析，现报道如下。

Abstract

Fulminant Myocarditis (FM) is a severe inflammatory heart disease characterized by a sudden onset and rapid progression. Patients may experience hemodynamic abnormalities, including acute heart failure, cardiogenic shock, severe arrhythmias, and even sudden death, with a high early mortality rate [1]. The Capillary Leak Syndrome (CLS) results from endothelial damage in capillaries due to various diseases, leading to increased vascular permeability and the leakage of large amounts of plasma proteins and water into the tissue spaces. Clinically, it manifests as progressive edema, acute pre-renal kidney injury, hypovolemic shock, pulmonary edema, and even multi-organ dysfunction [2]. Patients with FM combined with CLS have severe conditions, rapid disease progression, and a high mortality rate. Therefore, while providing appropriate treatment, active nursing interventions are essential to improve clinical symptoms. This article analyzes the nursing care of a patient treated with IABP combined with ECMO for FM complicated by CLS at our hospital, and the findings are reported as follows.