中华急危重症护理杂志2024,Vol.5Issue(4) :338-340.DOI:10.3761/j.issn.2096-7446.2024.04.009

双胎妊娠合并Stanford A型主动脉夹层患者行剖宫产及孙氏手术的围手术期护理

Perioperative care of twin pregnancy patients with Stanford type A aortic dissection undergoing cesarean section and Sun's surgery

陈功 张桃桃 聂小菲 程利 罗湘玉 郭菁菁 文铭浚
中华急危重症护理杂志2024,Vol.5Issue(4) :338-340.DOI:10.3761/j.issn.2096-7446.2024.04.009

双胎妊娠合并Stanford A型主动脉夹层患者行剖宫产及孙氏手术的围手术期护理

Perioperative care of twin pregnancy patients with Stanford type A aortic dissection undergoing cesarean section and Sun's surgery

陈功 1张桃桃 1聂小菲 1程利 1罗湘玉 1郭菁菁 1文铭浚1
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作者信息

  • 1. 442000 十堰市 湖北医药学院护理学院
  • 折叠

摘要

总结1例双胎妊娠合并Stanford A型主动脉夹层患者行剖宫产及孙氏手术的围手术期护理体会.针对患者夹层撕裂范围广、双胎且处于孕晚期、护理难度大的特点,术前合理搬运、控制好心率及血压、保护胎儿,平稳过渡至手术;术中预防压力性损伤,加强体温管理;术后对循环及容量精细化管控、连续性肾脏替代治疗清除体内水分和毒素、预防并发症,同时加强营养支持、落实产科护理、实施个性化心理支持.经过43 d精心治疗和护理,患者顺利出院,母婴结局良好.

Abstract

To Summarize the perioperative nursing experience of a twin pregnancy patient with Stanford type A aortic dissection undergoing cesarean section and Sun's surgery.In response to the wide range of dissection tears in the patient,twins in late pregnancy,and high difficulty in nursing,we implemented reasonable preoperative handling,control of heart rate and blood pressure,protection of the fetus to ensure the smooth transition to surgery.We also prevented pressure injuries during surgery and strengthened temperature management,and provided postoperative fine control of circulation and volume,continuous renal replacement therapy to remove water and toxins from the body,prevention of complications,while strengthening nutritional support,implementing obstetric care and personalized psychological support.After 43 days of careful treatment and care,the patient was discharged smoothly and the matemal and infant outcomes were good.

关键词

妊娠,双胎/动脉瘤,夹层/剖宫产术/围手术期护理

Key words

Pregnancy,Twin/Aneurysm,Dissecting/Cesarean Section/Perioperative Nursing

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基金项目

湖北医药学院护理学院研究生科技创新项目(2023)(yjc2023002)

出版年

2024
中华急危重症护理杂志

中华急危重症护理杂志

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