1例羊水栓塞致肺动脉高压产妇行双肺移植术后的护理

doi:10.3761/j.issn.0254-1769.2023.11.004

中华护理杂志 ›› 2023, Vol. 58 ›› Issue (11): 1304-1307.DOI: 10.3761/j.issn.0254-1769.2023.11.004

1例羊水栓塞致肺动脉高压产妇行双肺移植术后的护理

郭璐瑶(), 曾妃(), 梁江淑渊, 顾培培

310000 杭州市浙江大学医学院附属第二医院综合ICU

收稿日期:2022-09-26 出版日期:2023-06-10 发布日期:2023-06-09
通讯作者: 曾妃，E-mail：zengfei@zju.edu.cn
作者简介:郭璐瑶：女，硕士，护师，E-mail：guoluyao@zju.edu.cn
基金资助:
浙江省医药卫生科技计划项目(2021KY713)

Nursing care after double lung transplantation of a parturient with pulmonary hypertension caused by amniotic fluid embolism

GUO Luyao(), ZENG Fei(), LIANG Jiang-shuyuan, GU Peipei

Received:2022-09-26 Online:2023-06-10 Published:2023-06-09

摘要/Abstract

摘要：

总结1例因羊水栓塞致肺动脉高压产妇行双肺移植术后的护理经验。护理要点包括肺动脉压联合平均动脉压监测，评估静脉-动脉体外膜肺氧合撤机时机；实施早期渐进性运动康复训练；进行同步改善呼吸和盆底肌功能的混合式康复训练；出血的评估与防治；应激性溃疡导致胃穿孔的护理；提供个体化心理支持。经过肺移植和产科的融合护理，患者病情稳定，顺利转入肺移植专科病房接受常规治疗和康复锻炼。

关键词: 肺移植, 肺动脉高压, 羊水栓塞, 康复护理, 产科护理

Abstract:

To report the nursing care after double lung transplantation of a parturient with pulmonary hypertension caused by amniotic fluid embolism. The main contents of nursing care were as follows：evaluating the weaning time of venous-arterial extracorporeal membrane oxygenation by monitoring pulmonary arterial pressure and mean arterial pressure，implementing early progressive exercise rehabilitation training and simultaneous improvement of pelvic floor muscle function of mixed breathing training，evaluating and preventing the bleeding，nursing of gastric perforation caused by stress ulcer，providing individualized psychological support. After lung transplantation and obstetrical fusion care，the patient’s condition was stable，and she was successfully transferred to the lung transplant specialist ward for routine treatment and rehabilitation exercise.

Key words: Lung Transplantation, Pulmonary Arterial Hypertension, Amniotic Fluid Embolism, Rehabilitation Nursing, Obstetrical Nursing

郭璐瑶, 曾妃, 梁江淑渊, 顾培培. 1例羊水栓塞致肺动脉高压产妇行双肺移植术后的护理[J]. 中华护理杂志, 2023, 58(11): 1304-1307.

GUO Luyao, ZENG Fei, LIANG Jiang-shuyuan, GU Peipei. Nursing care after double lung transplantation of a parturient with pulmonary hypertension caused by amniotic fluid embolism[J]. Chinese Journal of Nursing, 2023, 58(11): 1304-1307.

参考文献 14

[1]	刘燕燕, 冯玲. 羊水栓塞的肺动脉高压问题[J]. 中国实用妇科与产科杂志, 2019, 35(7):756-759. DOI
	Liu YY, Feng L. Pulmonary hypertension caused by amniotic fluid embolism[J]. Chin J Pract Gynecol Obstet, 2019, 35(7):756-759.
[2]	Zhou Q, Peng P, Liu XY, et al. Evaluation of maternal and fetal outcomes in pregnancy complicated with pulmonary arterial hypertension[J]. Ann Palliat Med, 2021, 10(2):1404-1410. DOI PMID
[3]	Martin SR, Edwards A. Pulmonary hypertension and pregnancy[J]. Obstet Gynecol, 2019, 134(5):974-987. DOI PMID
[4]	Hadaya J, Benharash P. Extracorporeal membrane oxygenation[J]. JAMA, 2020, 323(24):2536. DOI PMID
[5]	李凡, 赖巍, 康焰. 静脉-动脉体外膜肺氧合撤机成功的预测及流程[J]. 中华医学杂志, 2022, 102(25):1878-1881.
	Li F, Lai W, Kang Y. Prediction and process of successful weaning of vein-artery extracorporeal membrane oxygenation[J]. Natl Med J China, 2022, 102(25):1878-1881.
[6]	兰美娟, 曾妃, 梁江淑渊. 双肺移植患者肺康复方案的构建及应用[J]. 中华护理杂志, 2022, 57(6):659-665. DOI URL
	Lan MJ, Zeng F, Liang JSY. Construction and application of a pulmonary rehabilitation program in patients with double lung transplantation[J]. Chin J Nurs, 2022, 57(6):659-665. DOI URL
[7]	王瑞婷, 孙菁, 韦昌韵, 等. 运动干预在肺移植患者康复中应用的范围综述[J]. 中华护理杂志, 2022, 57(6):680-687. DOI URL
	Wang RT, Sun J, Wei CY, et al. Exercise intervention in the rehabilitation of patients with lung transplantation:a scoping review[J]. Chin J Nurs, 2022, 57(6):680-687.
[8]	朱兰, 娄文佳. 中国女性盆底康复现状[J]. 中国计划生育和妇产科, 2020, 12(10):3-4,8.
	Zhu L, Lou WJ. Current status of Chinese women’s pelvic floor rehabilitation[J]. Chin J Fam Plan & Gynecotokology, 2020, 12(10):3-4,8.
[9]	Popugaev KA, Bakharev SA, Kiselev KV, et al. Clinical and pathophysiologic aspects of ECMO-associated hemorrhagic complications[J]. PLoS One, 2020, 15(10):e0240117. DOI URL
[10]	Zevallos-Villegas A, Alonso-Moralejo R, Cambra F, et al. Morbidity and mortality of serious gastrointestinal complications after lung transplantation[J]. J Cardiothorac Surg, 2019, 14(1):181. DOI PMID
[11]	Reintam Blaser A, Starkopf J, Alhazzani W, et al. Early enteral nutrition in critically ill patients:ESICM clinical practice guidelines[J]. Intensive Care Med, 2017, 43(3):380-398. DOI PMID
[12]	Seiler A, Klaghofer R, Ture M, et al. A systematic review of health-related quality of life and psychological outcomes after lung transplantation[J]. J Heart Lung Transplant, 2016, 35(2):195-202. DOI URL
[13]	Ramiro-Cortijo D, de la Calle M, Benitez V, et al. Maternal psychological and biological factors associated to gestational complications[J]. J Pers Med, 2021, 11(3):183. DOI URL
[14]	中国医师协会呼吸医师分会, 中华医学会呼吸病学分会, 中国康复医学会呼吸康复专业委员会, 等. 中国慢性呼吸道疾病呼吸康复管理指南(2021年)[J]. 中华健康管理学杂志, 2021, 7(6):521-538.
	Chinese Association of Chest Physicians,Chinese Thoracic Society, Respiratory Rehabilitation Committee of Chinese Association of Rehabilitation Medicine, et al. Guidelines for respiratory rehabilitation management of chronic respiratory disea-ses in China[J]. Chin J Health Manag, 2021, 7(6):521-538.

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1例羊水栓塞致肺动脉高压产妇行双肺移植术后的护理

Nursing care after double lung transplantation of a parturient with pulmonary hypertension caused by amniotic fluid embolism

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