指南与标准中华急危重症护理杂志2023年3月第4卷第3期儿童体外膜肺氧合支持治疗的护理专家共识浙江大学医学院附属儿童医院护理部首都医科大学附属儿童医院儿科重症监护病房上海复旦大学附属儿科医院护理部上海交通大学附属上海儿童医学中心儿科重症监护病房重庆医科大学附属儿童医院儿科重症监护病房国家医学中心儿科护理联盟(执笔：诺纪华曲斌胡静张悦玥刘鹏丁亚萍)【摘要】目的形成儿童体外膜肺氧合支持治疗的护理专家共识（以下简称《共识》），规范体外膜肺氧合支持治疗期间的患儿护理。方法在系统检索国内外文献的基础上，结合利益相关人群访读结果，列出具体问题并设计专家西询表，邀请北京市、上海市、重庆市和浙江省15名相关领城专家，进行2轮德尔菲专家西询和1轮专家论证会议，对各个条目进行调整、修改和完善。结果《共识》包括ECMO建立前准备工作、ECMO支持模式选择、参数设定及系统监测、循环管理、呼吸管理、药物管理、营养管理、并发症管理、转运管理与出院随访管理10个方而。结论该《共识》具有科学性和实用性，为儿童体外膜肺支持治疗的护理实践提供指导依据。【关键词】儿童；体外膜肺氧合；临床实践；危重病护理；专家共识Nursing expert consensus on extracorporeal membrane oxygen support therapy for children/NursingDepartment of Children's Hospital of Zhejiang University School of Medicine;PICU,Children's Hospital ofCapital Medical University;Nursing Department of Children's Hospital of Fudan University;PICU,ShanghaiChildren's Medical Center of Shanghai Jiao Tong University;PICU,Affiliated Children's Hospital ofChongqing Medical University;National Medical Center Pediatric Nursing Alliance (Writing committee:ZHUJihua,QU Bin,HU Jing,ZHANG Yueyue,LIU Peng,DING Yaping)[Abstract]Objective To form a consensus of nursing experts on extracorporeal membrane oxygen support thera-py for children (hereafter referred to as the "consensus"),regulating the care of children during the period of ex-tracorporeal membrane oxygen support therapy.Methods Based on the systematic search of domestic and foreignliterature,combined with the results of interviews with stakeholders,specific problems were listed and the expert let-ter consultation form was designed.15 experts in the relevant fields from Beijing,Shanghai,Chongqing and Zhejiangwere invited to conduct two rounds of Delphi expert letter consultation and one round of expert demonstrationmeeting,so as to adjust,modify and improve each item.Results The consensus included 10 aspects as following:ECMO preparation before establishment,selection of ECMO support mode,parameter setting and system monitoring,circulation management,respiratory management,drug management,nutrition management,complication management,transport management and discharge follow-up management.Conclusion This consensus is scientific and practical,and provides guidance for the nursing practice of ECMO support therapy in children.[Key words]Child:Extracorporeal Membrane Oxygenation:Clinical Practice:Critical Care Nursing:ExpertConsensus近年来，我国儿童体外膜肺氧合(extracorporeal为危重症儿童抢救性治疗的关键策略。体外生命membrane oxygenation,ECMO)技术发展迅速，已成支持组织(Extracorporeal Life Support Organization,ELS0)近5年汇总数据显示，新生儿行ECMO治疗D0I:10.37615.isn.2096-7446.2023.03.007作者单位：310052杭州市浙江大学医学院附属儿童医院护理部的救治成功率约58%，儿童行ECO治疗的救治成功(诸纪华，丁亚萍)：首都医科大学附属儿童医院儿科重症监护病房率约57%。尽管ECM0技术相对成熟，但国内儿童(曲斌)：上海复旦大学附属儿科医院护理部（胡静）：上海交通大学ECMO支持期间的护理尚未形成统一规范。因此，专附属上海儿童医学中心儿科重症监护病房（张悦明）：重庆医科大家组基于国内外相关文献并结合我国实际情况，从学附属儿童医院儿科重症监护病房（刘鹏）诸纪华：女，本科，主任护师，护理部主任，E-mail:jihuazhu@zju.e山cnECMO建立前准备工作、支持治疗模式选择、运行参2022-10-02收稿数设置及系统监测、循环管理、呼吸管理、体温监测、252 Chin J Emerg Crit Care Nurs,March 2023,Vol.4,No.3
