总结1例妊娠中期自发性冠脉夹层致急性心肌梗死患者的护理体会。护理要点：经皮冠状动脉介入治疗术中密切监护，保障患者及胎儿安全；实施体位管理，预防血液回流受阻；以目标为导向进行容量管理，预防心力衰竭；精准双联用药护理，早期识别出血风险；加强产前胎儿监测，警惕宫内缺氧；实施早期康复，改善心脏功能；应用二元心理支持，缓解负性情绪；针对性营养支持，纠正营养不良；其中容量管理是该案例的重点及难点。经治疗与护理，患者病情好转，于术后第11天康复出院，并于3个月后诞下1名健康女婴，母婴结局良好。

To summarize the nursing experience of a patient with acute myocardial infarction caused by spontaneous coronary artery dissection in the second trimester of pregnancy. Nursing points included close monitoring during PCI to ensure the safety of patients and fetuses，implementing position management to prevent blood reflux obstruction，objective-oriented volume management to prevent heart failure，precise dual drug care and early identification of bleeding risk，strengthening prenatal fetal monitoring and being alert to intrauterine hypoxia，the implementation of early rehabilitation to improve cardiac function，application of binary psychological support to alleviate negative emotions，targeted nutritional support to correct malnutrition. Capacity management was the focus and difficulty of the case. After treatment and nursing，the patient ’s condition improved and was discharged on the 11 th day after operation，and a healthy baby girl was born 3 months later，with good maternal and infant outcomes.