Chinese Journal of Nursing ›› 2023, Vol. 58 ›› Issue (1): 80-84.DOI: 10.3761/j.issn.0254-1769.2023.01.011

• Clinical Practice • Previous Articles     Next Articles

Successful pregnancy and delivery after heart and lung transplantation:a case report

LI Jiuhong(), DONG Alan(), LI Yamin, LIU Yiting, ZHANG Xia, XIE Juanyu, YU Mei, REN Min   

  • Received:2022-04-29 Online:2023-01-10 Published:2022-12-30
  • Contact: DONG Alan

1例心肺联合移植术后患者成功妊娠并分娩的护理

李九红(), 董阿兰(), 李亚敏, 刘义婷, 张霞, 谢娟玉, 余梅, 任敏   

  1. 410000 长沙市 中南大学湘雅二医院心血管外科(李九红,董阿兰,张霞,谢娟玉,余梅,任敏),临床护理学教研室(李亚敏,刘义婷)
  • 通讯作者: 董阿兰
  • 作者简介:李九红:女,硕士,主管护师,E-mail:jiuhongli@csu.edu.cn
  • 基金资助:
    湖南省卫生健康委员会一般资助课题(202214023492);中南大学湘雅二医院护理科研基金项目(2019-HLKY-01);中南大学湘雅二医院护理科研基金项目(2020-HLKY-11)

Abstract:

To summarize the nursing experience of a patient with successful pregnancy and delivery after heart-lung transplantation. Nursing points include:establishing a multidisciplinary team of perinatal maternal-fetal cardiovascular disease to escort patients for successful delivery; individualized pre-pregnancy counseling to choose the best timing for pregnancy; adjustment of the immunosuppressive regimen during pregnancy and close monitoring of blood drug concentrations; refined pregnancy management,prevention of serious complications; rational selection of the mode of delivery and strict monitoring during labor;postpartum care and feeding guidance; psychological counseling to enhance patient confidence. After careful nursing and guidance,the patient successfully conceived and gave birth to a healthy baby. The mother and baby were discharged safely 5 days after the operation,and they were in good condition after 3 months of follow-up.

Key words: Heart and Lung Transplantation, Pregnancy, Immunosuppression, Obstetrical Nursing

摘要:

总结1例心肺联合移植术后患者成功妊娠并分娩的护理经验。护理要点包括:成立围产期母胎心血管疾病多学科团队,提供全程管理;个体化孕前咨询,选择最佳妊娠时机;调整孕期免疫抑制方案,密切监测血药浓度;精细化的妊娠期管理,预防严重并发症的发生;合理选择分娩方式,严密进行产时监护;产后护理及喂养指导;全程心理疏导,增强患者信心。经过精心的治疗及护理,患者成功妊娠并顺利分娩健康婴儿,术后5 d母婴平安出院,产后3个月随访,患者及婴儿状况良好。

关键词: 心肺联合移植, 妊娠, 免疫抑制, 产科护理