中华护理杂志 ›› 2023, Vol. 58 ›› Issue (24): 3018-3022.DOI: 10.3761/j.issn.0254-1769.2023.24.011
收稿日期:
2023-02-28
出版日期:
2023-12-20
发布日期:
2023-12-19
通讯作者:
王军,E-mail:wangj229@126.com作者简介:
俞洁:女,本科,主管护师,护士,E-mail:chrissy1985@126.com
基金资助:
YU Jie(), WANG Jun(), JI Yuanyuan, ZHANG Naqin
Received:
2023-02-28
Online:
2023-12-20
Published:
2023-12-19
摘要:
总结1例孕20周+小脑动静脉畸形破裂出血伴意识障碍孕妇行低温治疗的护理经验。护理要点:妊娠结合脑动静脉畸形复合手术的术后管理;低温治疗期间的护理,全程预防并发症;分阶段实施早期康复训练;结合神经功能恢复情况进行产后管理。通过精心及专业的治疗和护理,患者预后良好,剖宫产术后转至康复科继续行康复治疗。
俞洁, 王军, 纪媛媛, 张娜芹. 1例小脑动静脉畸形破裂行低温治疗的中期妊娠患者的护理[J]. 中华护理杂志, 2023, 58(24): 3018-3022.
YU Jie, WANG Jun, JI Yuanyuan, ZHANG Naqin. Nursing care of a patient in the second trimester of pregnancy who underwent hypothermia after ruptured cerebellar arteriovenous malformation[J]. Chinese Journal of Nursing, 2023, 58(24): 3018-3022.
[1] | 樊娟, 张玉琪. 2017版美国心脏协会《颅内动静脉畸形的处理》中破裂颅内动静脉畸形治疗的解读[J]. 中华神经外科杂志, 2019, 35(7):750-754. |
Fan J, Zhang YQ. Interpretation of the treatment of ruptured intracranial arteriovenous malformations in the 2017 edition of American Heart Association’s Management of Intracranial Arteriovenous Malformations[J]. Chin J Neurosurg, 2019, 35(7):750-754. | |
[2] |
Fukuda K, Majumdar M, Masoud H, et al. Multicenter assess-ment of morbidity associated with cerebral arteriovenous mal-formation hemorrhages[J]. J Neurointerv Surg, 2017, 9(7):664-668.
DOI PMID |
[3] | 吴雅婷, 彭斌. 妊娠相关脑血管病的研究进展[J]. 中华脑血管病杂志(电子版), 2020, 14(6):322-326. |
Wu YT, Peng B. Research progress of pregnancy-related cere-brovascular diseases[J]. Chin J Cerebrovasc Dis Electron Ed, 2020, 14(6):322-326. | |
[4] |
Katsuragi S, Yoshimatsu J, Tanaka H, et al. Management of preg-nancy complicated with intracranial arteriovenous malformation[J]. J Obstet Gynaecol Res, 2018, 44(4):673-680.
DOI URL |
[5] | 中国医师协会神经外科分会神经重症专家委员会, 北京医学会神经外科分会神经外科危重症学组,中国神经外科重症管理协作组. 神经重症目标温度管理中国专家共识(2022版)[J]. 中华神经医学杂志, 2022, 21(7):649-656. |
Neurocritical Care Expert Committee of Neurosurgery Branch of Chinese Medical Doctor Association,Critical Care Group of Neurosurgery, Neurosurgery Branch,Beijing Medical Associa-tion,Chinese Neurosurgery Critical Care Management Coopera-tive Group. Consensus of Chinese experts on targeted tempera-ture management for neurocritical care(2022)[J]. Chin J Neu-romed, 2022, 21(7):649-656. | |
[6] |
Ladhani NNN, Swartz RH, Foley N, et al. Canadian stroke best practice consensus statement:acute stroke management during pregnancy[J]. Int J Stroke, 2018, 13(7):743-758.
DOI PMID |
[7] |
Malaiyandi D, James E, Peglar L, et al. Neurocritical care of the pregnant patient[J]. Curr Treat Options Neurol, 2021, 23(7):22.
DOI |
[8] |
Humphries A, Mirjalili SA, Tarr GP, et al. Hemodynamic chan-ges in women with symptoms of supine hypotensive syndrome[J]. Acta Obstet Gynecol Scand, 2020, 99(5):631-636.
DOI URL |
[9] |
Miller EC, Gallo M, Kulick ER, et al. Infections and risk of peripartum stroke during delivery admissions[J]. Stroke, 2018, 49(5):1129-1134.
DOI PMID |
[10] |
Liu XY, Griffith M, Jang HJ, et al. Intracranial pressure mo-nitoring via external ventricular drain:are we waiting long enough before recording the real value?[J]. J Neurosci Nurs, 2020, 52(1):37-42.
DOI URL |
[11] | 中国医师协会急诊医师分会, 中国医药教育协会急诊医学专业委员会, 成人急危重症脑损伤患者目标温度管理临床实践专家共识组, 等. 成人急危重症脑损伤患者目标温度管理临床实践专家共识[J]. 中华急诊医学杂志, 2019, 28(3):282-291. |
Emergency Physicians Branch of Chinese Physicians Asso-ciation,Emergency Medicine Committee of Chinese Medical Education Association, Expert Consensus Group on Clinical Practice of Targeted Temperature Management for Adult Patients with Acute Critical Brain Injury. Expert consensus on clinical practice of targeted temperature management in adult acute critical care brain injury patients[J]. Chin J Emerg Med, 2019, 28(3):282-291. | |
[12] | 赵振华, 邢星敏, 冯波, 等. 成人危重患者低体温复温管理的证据总结[J]. 护理学报, 2021, 28(19):39-43. |
Zhao ZH, Xing XM, Feng B, et al. Evidence summary of rewarming management of hypothermia in critically ill adult patients[J]. J Nurs, 2021, 28(19):39-43. | |
[13] |
Sidhu SS, Schulman SP, McEvoy JW. Therapeutic hypothermia after cardiac arrest[J]. Curr Treat Options Cardio Med, 2016, 18(5):30.
DOI URL |
[14] |
Godoy DA, Robba C, Paiva WS, et al. Acute intracranial hy-pertension during pregnancy:special considerations and mana-gement adjustments[J]. Neurocrit Care, 2022, 36(1):302-316.
DOI |
[15] | 何亚荣, 郑玥, 周法庭, 等. 2020年美国心脏协会心肺复苏和心血管急救指南解读:成人基础/高级生命支持[J]. 华西医学, 2020, 35(11):1311-1323. |
He YR, Zheng Y, Zhou FT, et al. Interpretation of the 2020 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care-adult basic and advanced life support[J]. West China Med J, 2020, 35(11):1311-1323. | |
[16] | Derdeyn CP, Zipfel GJ, Albuquerque FC, et al. Management of brain arteriovenous malformations:a scientific statement for healthcare professionals from the American heart association/American stroke association[J]. Stroke, 2017, 48(8):e200-e224. |
[17] |
Chen MM, Coakley FV, Kaimal A, et al. Guidelines for com-puted tomography and magnetic resonance imaging use during pregnancy and lactation[J]. Obstet Gynecol, 2008, 112(<W>2 Pt 1):333-340.
DOI URL |
[18] | 中华医学会神经病学分会神经重症协作组. 神经重症低温治疗中国专家共识[J]. 中华神经科杂志, 2015, 48(6):453-458. |
Neurocritical Care Collaborative Group of Chinese Medical Association Neurology Branch. Chinese expert consensus on neurocritical care hypothermia[J]. Chin J Neurol, 2015, 48(6):453-458. | |
[19] | Annoni F, Donadello K, Nobile L, et al. A practical approach to the use of targeted temperature management after cardiac arrest[J]. Minerva Anestesiol, 2020, 86(10):1103-1110. |
[20] |
Menges D, Seiler B, Tomonaga Y, et al. Systematic early versus late mobilization or standard early mobilization in mecha-nically ventilated adult ICU patients:systematic review and meta-analysis[J]. Crit Care, 2021, 25(1):16.
DOI |
[21] |
刘婷, 谭小雪, 徐娜飞, 等. 妊娠期糖尿病孕妇运动方案的最佳证据总结[J]. 中华护理杂志, 2020, 55(10):1514-1519.
DOI URL |
Liu T, Tan XX, Xu NF, et al. Evidence summary of exercise regimens for patients with gestational diabetes mellitus[J]. Chin J Nurs, 2020, 55(10):1514-1519.
DOI URL |
|
[22] | 倪莹莹, 王首红, 宋为群, 等. 神经重症康复中国专家共识(下)[J]. 中国康复医学杂志, 2018, 33(3):264-268. |
Ni YY, Wang SH, Song WQ, et al. Expert consensus on reha-bilitation of severe neuropathy in China(Ⅱ)[J]. Chin J Re-habil Med, 2018, 33(3):264-268. | |
[23] |
沙利娟, 张爱霞, 樊雪梅, 等. 产妇产后抑郁非药物干预的最佳证据总结[J]. 中华护理杂志, 2022, 57(24):2977-2984.
DOI URL |
Sha LJ, Zhang AX, Fan XM, et al. Evidence summary of non-pharmacological interventions for maternal postpartum depres-sion[J]. Chin J Nurs, 2022, 57(24):2977-2984. | |
[24] |
Sharma IK, Byrne A. Early initiation of breastfeeding:a syste-matic literature review of factors and barriers in South Asia[J]. Int Breastfeed J, 2016, 11(1):1-12.
DOI URL |
[25] |
田策, 姜岳, 杨芳, 等. 产妇产褥期健康管理期望与感知的现状分析[J]. 中华护理杂志, 2020, 55(12):1796-1801.
DOI URL |
Tian C, Jiang Y, Yang F, et al. Analysis of the puerperae’s expectations and perceived status of puerperal health management services[J]. Chin J Nurs, 2020, 55(12):1796-1801. | |
[26] |
邓永芳, 贺芳, 符白玲, 等. 促进母婴分离产妇母乳采集的循证实践[J]. 中华护理杂志, 2020, 55(1):22-27.
DOI URL |
Deng YF, He F, Fu BL, et al. Evidence-based practice to promote breast milk expression among postpartum women with neonatal-maternal separation[J]. Chin J Nurs, 2020, 55(1):22-27.
DOI URL |
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