ID 原文 译文
1491 建立有效血管通路，一般行中心静脉置管，首选颈内静脉。 Preparation for patient: establish effective vascular access. Generally, central vein catheterization is performed for CRRT, with the internal jugular vein preferred.
1492 如同时有ECMO治疗，可将CRRT治疗整合入ECMO系统；设备、耗材、超滤用药准备。 A CRRT device can be integrated into the ECMO circuit if the two are applied at the same time. Prepare equipment, consumables, and ultrafiltration medication before CRRT.
1493 治疗中护理 In-treatment Care
1494 1）血管通路的护理： (1) Vascular Access Care:
1495 中心静脉置管的患者每24小时进行专业导管护理一次，妥善固定通路，避免扭曲、受压。 Perform professional catheter care every 24 hours for patients with central venous catheterization to properly fix access to avoid distortion and compression.
1496 CRRT整入ECMO治疗时需双人核对连接方法及连接的紧密性。 When CRRT is integrated into ECMO treatment, the sequence and the tightness of the catheter connection should be confirmed by two nurses.
1497 建议CRRT的引出端及回输端均在氧合器后。 Both the outflow and the inflow CRRT lines are suggested to be connected behind the oxygenator.
1498 2）严密监测患者神志及生命体征变化，准确计算液体出入量；严密观察体外循环凝血情况，有效处理报警，确保机器顺畅运转；q4h监测血气分析，评估内环境电解质酸碱平衡；置换液的配置应严格遵守无菌操作原则，现配现用，标示清晰。 (2) Closely monitor consciousness and the vital signs of patients; accurately calculate the fluid inflow and outflow. Closely observe blood clotting within the cardiopulmonary bypass circuit, respond effectively to any alarms, and ensure that the machine is operating properly. Assess the electrolyte and acid-base balance in the internal environment through blood gas analysis every 4 hours. The replacement liquid should be prepared freshly and labeled clearly under strict sterile conditions.
1499 治疗后护理 Postoperative Care
1500 1）监测患者血常规、肝肾功能、凝血功能。 (1) Monitor blood routine, liver and kidney function and coagulation function.