中华护理杂志 ›› 2023, Vol. 58 ›› Issue (5): 600-604.DOI: 10.3761/j.issn.0254-1769.2023.05.013

• 临床实践 • 上一篇    下一篇

1例原发纵隔大B细胞淋巴瘤并发大气道狭窄孕产妇的护理

张煜(), 张春艳(), 吴海燕, 王淑芹, 贾燕瑞, 孙兵   

  1. 100020 北京市 首都医科大学附属北京朝阳医院呼吸与危重症医学科/北京市呼吸疾病研究所
  • 收稿日期:2022-06-13 出版日期:2023-03-10 发布日期:2023-03-01
  • 通讯作者: 张春艳,E-mail:coomoon11@163.com
  • 作者简介:张煜:女,硕士,副主任护师,E-mail:yaya616812@163.com

Nursing care of a pregnant woman with primary mediastinal large B-cell lymphoma complicated with airway stenosis

ZHANG Yu(), ZHANG Chunyan(), WU Haiyan, WANG Shuqin, JIA Yanrui, SUN Bing   

  • Received:2022-06-13 Online:2023-03-10 Published:2023-03-01

摘要:

总结1例原发纵隔大B细胞淋巴瘤并发大气道狭窄孕产妇的护理经验。护理要点包括使用体外膜肺氧合转运清单,保障双向转运安全;成立专属护理团队,保证护理过程的连贯性;未抗凝与抗凝状态下多渠道出凝血的监测与护理;严重并发症的预防与护理;实施精细化的妊娠期管理及个体化心理护理。患者在呼吸与危重症医学科住院9 d,经过精心的治疗及护理,病情好转,后转至产科继续治疗。

关键词: 淋巴瘤, 体外膜肺氧合, 孕妇, 大气道狭窄, 产科护理

Abstract:

To summarize the nursing experience of a pregnant woman with primary mediastinal large B-cell lymphoma complicated with atmospheric tract stenosis. Nursing key points include inventory management to ensure the safety of ECMO two-way transport;setting up an exclusive nursing team to ensure the continuity of nursing process and effective implementation of decision-making;staged coagulation monitoring and management during ECMO and CRRT operation;doctor-nurse cooperation was carried out according to the patient’s condition to predict the related complications and formulate the process plan,to provide a safe guarantee for the prevention of airway obstruction,tumor lysis syndrome,catheter-related bloodstream infection and other related complications. At the same time,patients are provided with refined pregnancy management and individualized psychological intervention. The patient was hospitalized for 9 days. After careful treatment and nursing,the patient’s condition was and improved transferred to the department of obstetrics for further treatment.

Key words: Lymphoma, Extracorporeal Membrane Oxygenation, Pregnant Woman, Airway Stenosis, Obstetrical Nursing