中华护理杂志 ›› 2021, Vol. 56 ›› Issue (9): 1325-1328.DOI: 10.3761/j.issn.0254-1769.2021.09.007

• 围产期护理专题 • 上一篇    下一篇

1例镜像综合征并发急性心力衰竭孕妇的护理

蒋阳(),沈鸣雁,冯志仙   

  1. 310003 杭州市妇产科医院监护室(蒋阳);浙江树人大学树兰国际医学院附属树兰(杭州)医院护理部(沈鸣雁,冯志仙)
  • 收稿日期:2021-03-23 出版日期:2021-09-15 发布日期:2021-09-17
  • 作者简介:蒋阳:女,本科(硕士在读),主管护师,E-mail: <email>jysunny0909@126.com</email>

Nursing care of a patient with mirror syndrome complicated with acute heart failure/

JIANG Yang(),SHEN Mingyan,FENG Zhixian   

  • Received:2021-03-23 Online:2021-09-15 Published:2021-09-17

摘要:

总结1例孕29周 +镜像综合征并发急性心衰孕妇的抢救及护理经验。护理要点包括:妊娠合并急性心力衰竭的急救护理、终止妊娠后活动性出血的观察与护理、精准化产后容量管理、采用经面罩无创正压通气和经鼻高流量氧疗的序贯交替疗法、分阶段实施心理护理。通过给予针对性的护理措施,患者预后良好,住院8 d后出院。

关键词: 镜像综合征, 急性心力衰竭, 产科护理

Abstract:

To summarize the rescue and nursing experience of a 29 + weeks pregnant woman with mirror syndrome complicated with acute heart failure. Nursing points include first aid and nursing of pregnancy complicated with acute heart failure,observation and nursing of active bleeding after termination of pregnancy,postpartum volume management,sequential therapy of mechanical ventilation after operation and nursing of nasal high flow oxygen,and psychological nursing by stages. Through the targeted nursing measures,the patient had a good prognosis and was discharged successfully 8 days after admission.

Key words: Mirror Syndrome, Acute Heart Failure, Obstetrical Nursing