总结2例应用体外膜肺氧合(extracorporeal membrane oxygenation,ECMO)联合主动脉内球囊反搏(intraaortic balloon pump,IABP)救治暴发性心肌炎患者的护理经验.包括:成立特护小组;严密监测心功能及血流动力学;精准管理出入量;关注管路安全;监测血氧、下肢远端灌注、抗凝情况;积极预防和处理出血并发症.本组2例患者,均成功撤离IABP和ECMO,病情稳定后转入普通病房,最终好转出院.

Objective To study the application effect of case teaching method combined with concept map in the teaching of further education nurses. Methods 18 further education nurses in RICU from September 2013 to September 2014 were taken as experimental group, and 24 further education nurses received between September 2012 and September 2013 were taken as control group, then a comparative research was performed. The experimental group applied case teaching method combined with concept map teaching method, while the control group applied traditional teaching method. Both of the two groups were assessed for the theory and operation at the beginning and the end, respectively. The nurses in the experimental group was required to fill out an own evaluation questionnaire form. For experimental group and control group, at the end of the study the further education nurses were subjected to a clinical teaching feedback survey. Results The theory, operation assessment scores and clinical teaching feedback scores of the experimental group were higher than the control group (P<0.01), each item of scores in the case teaching method combined with concept map was above 4. Conclusions The application of case teaching method combined with concept map in the teaching of further education nurses is helpful for them to master the knowledge systematically, develop good thinking mode and improve nurses’quality in an all-round way.