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 ›› 2024, Vol. 5 ›› Issue (4): 341-343.doi: 10.3761/j.issn.2096-7446.2024.04.010

• 重症护理研究 • 上一篇    下一篇

艾森曼格综合征并发重度肺动脉高压产妇的围产期全程管理

王朝晖, 郑慧娟, 章莉莉, 王青青   

  1. 310002 杭州市 浙江大学医学院附属第二医院护理部
  • 收稿日期:2023-05-23 发布日期:2024-04-15
  • 作者简介:王朝晖:女,本科,主管护师,E-mail:1178700273@zju.edu.cn

Perinatal whole-process management of a puerpera with Eisenmenger syndrome complicated with severe pulmonary hypertension

WANG Zhaohui, ZHENG Huijuan, ZHANG Lili, WANG Qingqing   

  • Received:2023-05-23 Published:2024-04-15

摘要: 总结1例艾森曼格综合征并发重度肺动脉高压产妇围产期全程管理的护理体会。护理要点:针对产妇持续低氧血症、心功能不全和重度肺动脉高压等问题,采取目标血氧饱和度循序渐进氧疗支持护理,监测、评估胎儿宫内情况;围产期容量与压力平衡重点管理;早期识别肺动脉高压危象征象、避免诱发因素;预防严重并发症;个性化出院健康指导。经过10 d的治疗及护理,患者病情稳定出院,出院后随访3个月,母儿状况良好。

关键词: 艾森曼格综合征, 肺动脉高压, 围产期, 危重病护理

Abstract: To summarize the nursing experience of perinatal whole-process management in a case of Eisenmenger syndrome complicated with severe pulmonary hypertension. Aiming at maternal persistent hypoxemia,cardiac insufficiency and severe pulmonary hypertension,etc.,we used step-by-step oxygen therapy support care with targeted oxygen saturation,monitored and evaluated the condition of the fetus in uterus,focused on managing perinatal volume and pressure balance,identified pulmonary hypertension crisis signs earlier and avoided predisposing factors,prevented serious complications,took personalized discharge health guidance. After 10 days of treatment and nursing,the patient's condition was stable and discharged. After 3 months of follow-up,the mother and baby were in good condition.

Key words: Eisenmenger Complex, Pulmonary Arterial Hypertension, Peripartum Period, Critical Care Nursing