护士进修杂志2024,Vol.39Issue(23) :2563-2567.DOI:10.16821/j.cnki.hsjx.2024.23.016

1例重度子痫前期并发急性左心衰及脓毒性休克患者的护理

Nursing care of a patient with severe preeclampsia complicated with acute left heart failure and septic shock

雷志萍 植鸾 刘建华 范文卓
护士进修杂志2024,Vol.39Issue(23) :2563-2567.DOI:10.16821/j.cnki.hsjx.2024.23.016

1例重度子痫前期并发急性左心衰及脓毒性休克患者的护理

Nursing care of a patient with severe preeclampsia complicated with acute left heart failure and septic shock

雷志萍 1植鸾 1刘建华 1范文卓1
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作者信息

  • 1. 电子科技大学医学院附属妇女儿童医院 成都市妇女儿童中心医院,四川成都 610091
  • 折叠

摘要

总结2022年12月我科收治的1例重度子痫前期并发急性左心衰及脓毒性休克患者的护理经验.护理要点包括严密观察生命体征,维持血流动力学稳定;积极落实护理措施,有效控制感染;加强基础护理,预防呼吸机相关并发症;落实各类管道护理,确保管路安全;静脉血栓的预防;为患者和家属提供心理护理;实施母婴分离下的母乳喂养;强化出院健康指导.经过专业、规范的精细化救治与护理,患者于术后15 d康复出院.出院15 d电话随访,产后42 d门诊复查恢复良好.

Abstract

The nursing experience of a patient with severe preeclampsia complicated with acute left heart failure and septic shock admitted to our department in December 2022 was summarize in this study.The main nursing points included:Closely observing vital signs and maintaining hemodynamic stability;Actively implementing nursing measures to effectively control infection;Strengthening basic nursing to prevent ventilator-related complications;Im-plementing all kinds of pipeline care to ensure pipeline safety;Preventing venous thrombosis;Providing psychologi-cal care for patients and their families;Breastfeeding with separation of mother and child;Strengthen discharge health guidance.After professional and standardized treatment and nursing,the patient recovered and was dis-charged 15 days after surgery.The patient was followed up by telephone at 15 days after discharge and recovered well at 42 days after delivery.

关键词

重度子痫前期/急性左心衰/脓毒性休克/产科护理

Key words

severe preeclampsia/acute left heart failure/septic shock/maternity nursing

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出版年

2024
护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCDCSCD
影响因子:2.59
ISSN:1002-6975
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