房间隔缺损伴肺动脉高压患者妊娠期并发脑栓塞的护理

doi:10.3761/j.issn.2096-7446.2024.05.010

中华急危重症护理杂志 ›› 2024, Vol. 5 ›› Issue (5): 442-445.doi: 10.3761/j.issn.2096-7446.2024.05.010

房间隔缺损伴肺动脉高压患者妊娠期并发脑栓塞的护理

曹小婷, 雷睿, 钱海兰, 周京江, 袁军

845350 新疆维吾尔自治区克孜勒苏柯尔克孜自治州人民医院重症监护病区（曹小婷）,护理部（雷睿）; 南通大学附属医院神经内科重症监护病房（钱海兰）; 徐州医科大学附属医院急诊重症医学科（周京江）; 江苏省中医院神经内科（袁军）

收稿日期:2023-11-01 发布日期:2024-05-14
通讯作者: 钱海兰,E-mail：343711307@qq.com
作者简介:曹小婷：女,主管护师,科护士长,E-mail：420615427@qq.com

Nursing care of a patient with atrial septal defect and pulmonary hypertension complicated with cerebral embolism during pregnancy

CAO Xiaoting, LEI Rui, QIAN Hailan, ZHOU Jingjiang, YUAN Jun

Received:2023-11-01 Published:2024-05-14

摘要/Abstract

摘要： 总结1例房间隔缺损伴肺动脉高压患者妊娠期并发脑栓塞的护理体会。针对该患者脑栓塞导致右侧肢体肌力减弱、不能言语、吞咽障碍及房间隔缺损、肺动脉压力增高等问题,成立多学科团队,维护神经系统功能;严格容量管理,预防心力衰竭发生;实施早期康复,降低功能残疾程度;个体化心理护理,避免负性情绪产生。经过23 d的精心治疗和护理,患者病情好转出院。

关键词: 妊娠, 房间隔缺损, 肺动脉高压, 卒中, 危重病护理

Abstract: To summarize the nursing experience of a patient with atrial septal defect and pulmonary hypertension complicated with cerebral embolism during pregnancy. In view of the problems caused by cerebral embolism in the patient,such as weakened muscle strength of the right limb,inability to speak and dysphagia,atrial septal defect,and increased pulmonary artery pressure,a multidisciplinary team was established to maintain the nervous system function,implemented strict volume management to prevent heart failure,implemented early rehabilitation to reduce the degree of functional disability and iIndividual psychological nursing to avoid negative emotions. After 23 days of careful treatment and nursing,the patient‘s condition improved and was discharged.

Key words: Pregnancy, Atrial Septal Defect, Pulmonary Hypertension, Stroke, Critical Care Nursing

曹小婷, 雷睿, 钱海兰, 周京江, 袁军. 房间隔缺损伴肺动脉高压患者妊娠期并发脑栓塞的护理[J]. 中华急危重症护理杂志, 2024, 5(5): 442-445.

CAO Xiaoting, LEI Rui, QIAN Hailan, ZHOU Jingjiang, YUAN Jun. Nursing care of a patient with atrial septal defect and pulmonary hypertension complicated with cerebral embolism during pregnancy[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(5): 442-445.

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房间隔缺损伴肺动脉高压患者妊娠期并发脑栓塞的护理

Nursing care of a patient with atrial septal defect and pulmonary hypertension complicated with cerebral embolism during pregnancy

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