ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2022, Vol. 3 ›› Issue (6): 532-534.doi: 10.3761/j.issn.2096-7446.2022.06.010

• 急症护理研究 • 上一篇    下一篇

中晚期妊娠合并母体心脏黏液瘤患者行多学科协作的护理

陈建红, 王园, 冯洁惠   

  1. 310000 杭州市 浙江大学医学院附属第一医院产科（陈建红,王园）,心脏大血管外科（冯洁惠）
  • 收稿日期:2022-04-27 出版日期:2022-11-10 发布日期:2022-11-11
  • 通讯作者: 冯洁惠,E-mail：fengjiehui5183@163.com
  • 作者简介:陈建红：女,本科,主管护师,E-mail：156560932@qq.com
  • 基金资助:
    浙江大学医学院附属第一医院护理科研项目（2022ZYHL010）

Multidisciplinary collaborative nursing of patients with maternal cardiac myxoma in middle and late pregnancy

CHEN Jianhong, WANG Yuan, FENG Jiehui   

  • Received:2022-04-27 Online:2022-11-10 Published:2022-11-11

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摘要： 总结2例中晚期妊娠合并母体心脏黏液瘤患者行多学科协作的护理体会。护理要点：针对术前母儿监护及围手术期护理的重难点问题,采取多学科协作组建应急反应团队,术前严密产科监测,监测瘤体警惕瘤体嵌顿瓣膜梗阻,栓塞预警管理;术中维持血流动力学稳定,肝素化后子宫活动性出血的观察和护理;术后精准容量管理;个体化心理护理。2例患者分别于术后第6天、第13天康复出院。

关键词: 妊娠, 心脏黏液瘤, 多学科协作, 产科护理

Abstract: To summarize the nursing experience of two cases of middle and late pregnancy complicated with maternal cardiac myxoma. Key points of nursing：in view of the important and difficult problems of preoperative maternal and fetal monitoring and perioperative nursing,a multidisciplinary collaboration was adopted to build an emergency response team,provide preoperative rigorous obstetric monitoring,tumor monitoring and being caution with tumor incarcerated valve obstruction,embolism early warning management; Intraoperative maintenance of hemodynamic stability,observation and nursing of active uterine bleeding after heparinization; Postoperative accurate volume management; Individual psychological care. The patient was discharged 13 days and 6 days after surgery respectively.

Key words: Pregnancy, Cardiac Myxoma, Multidisciplinary Collaboration, Obstetric Nursing