ID 原文 译文
1461 置管时给予负荷剂量肝素钠注射（25-50IU/kg），转流期间予肝素钠维持（7.5-20IU/kg/h），根据APTT结果进行调整，APTT目标40-60s；抗凝期间尽量减少皮肤穿刺次数，各项操作动作轻柔，密切观察有无出血情况。 The patients should be injected with heparin sodium (25-50 IU/kg) at the time of intubation and maintained with heparin sodium (7.5-20 IU/kg/h) during the pump flow period. The dosage of heparin sodium should be adjusted according to APTT results which should be held between 40-60 seconds. During the anticoagulation period, the number of skin punctures should be reduced as less as possible. Operations should be taken gently. The status of bleeding should be observed carefully.
1462 实行“超保护性肺通气”策略，最大程度地避免或减少呼吸机相关肺损伤发生，建议初始潮气量＜6mL/kg、保留自主呼吸强度，保持呼吸频率10-20次/min。 Implement the "ultra-protective lung ventilation" strategy to avoid or reduce the occurrence of ventilator-related lung injury. It is recommended that the initial tidal volume is < 6 mL/kg and the intensity of spontaneous breathing is retained (breathing frequency should be between 10-20 times/min).
1463 密切观察患者生命体征变化，维持MAP60-65mmHg、CVP＜8mmHg、SpO2＞90%，监测尿量、电解质情况。 Closely observe the vital signs of patients, maintain MAP between 60-65 mmHg, CVP < 8 mmHg, SpO 2 Handbook of COVID-19 Prevention and Treatment > 90%, and monitor the status of urine volume and blood electrolytes.
1464 输液、输血尽量膜后输注，避免输注脂肪乳、丙泊酚等药物。 Transfuse through the post membrane, avoiding infusion of fat emulsion and propofol.
1465 根据日常监测管理记录，每班评估ECMO氧合器功能。 According to the monitoring records, evaluate the ECMO oxygenator function during every shift.
1466 四. 人工肝护理 IV. Nursing Care of ALSS (Artificial Liver Support System)
1467 人工肝护理主要分为治疗期护理和治疗间歇期护理，护理人员应严密观察病情、规范操作流程、关注重点环节、及时处理并发症，以便顺利完成人工肝治疗。 ALSS nursing care is mainly divided into two different periods: nursing care during treatment and intermittent care. Nursing staff should closely observe the conditions of patients, standardize the operating procedures, focus on key points and deal with complications timely in order to successfully complete ALSS treatment.
1468 治疗期护理 Nursing Care during Treatment
1469 治疗期护理指每次人工肝治疗过程中的护理，整体操作流程可归纳为：操作人员自身准备-患者评估-装机-预冲-上机-参数调节-下机-记录， It refers to nursing during each stage of ALSS treatment. The overall operation process can be summarized as follows: operator’s own preparation, patient evaluation, installation, pre-flushing, running, parameter adjustment, weaning and recording.
1470 以下为各环节护理重点： The following are the key points of nursing care during each stage: