1例妊娠合并复杂性先天性心脏病伴肺动脉高压危象患者的产后护理

doi:10.3761/j.issn.0254-1769.2025.14.004

中华护理杂志 ›› 2025, Vol. 60 ›› Issue (14): 1690-1693.DOI: 10.3761/j.issn.0254-1769.2025.14.004

• 高危妊娠多维护理实践专题 • 上一篇下一篇

1例妊娠合并复杂性先天性心脏病伴肺动脉高压危象患者的产后护理

朱岩(), 曾妃(), 兰美娟, 梁江淑渊, 顾培培, 郭璐瑶, 蔡凌云

310000 杭州市浙江大学医学院附属第二医院护理部

收稿日期:2024-08-12 出版日期:2025-07-20 发布日期:2025-07-09
通讯作者: 曾妃，E-mail：zengfei@zju.edu.cn
作者简介:朱岩：女，硕士，护师，E-mail：2521113@zju.edu.cn
基金资助:
浙江省医药卫生科技计划项目(2023KY770)

Postpartum care for a patient with pregnancy complicated by complex congenital heart disease and pulmonary hypertension crisis

ZHU Yan(), ZENG Fei(), LAN Meijuan, LIANG Jiangshuyuan, GU Peipei, GUO Luyao, CAI Lingyun

Received:2024-08-12 Online:2025-07-20 Published:2025-07-09

摘要/Abstract

摘要：

总结1例妊娠合并复杂性先天性心脏病患者剖宫产术后并发肺动脉高压危象的护理经验。护理要点：吸入性一氧化氮治疗的监测和管理，降低肺动脉高压；提供序贯的呼吸支持护理，动态调整氧疗方案；精准的容量调控，警惕严重并发症的发生；优化产褥期监管策略，降低感染风险；防治消化道应激性出血，实施阶梯饮食管理策略；进行分阶段的康复训练，加速康复进程；开展个性化的心理支持和健康教育。经过积极的治疗与护理，患者恢复良好，住院18 d后顺利出院。

关键词: 复杂性先天性心脏病, 肺动脉高压危象, 产科护理

Abstract:

This paper summarizes the nursing experience of a pregnant woman with congenital heart disease who developed pulmonary artery hypertension crisis after cesarean section. Nursing key points：monitoring and management of inhaled nitric oxide therapy to reduce pulmonary hypertension；providing sequential respiratory support care and dynamically adjusting oxygen therapy regimen；precise volume regulation and alertness to serious complications；optimizing puerperal supervision strategy to reduce the risk of infection；preventing and controlling stress bleeding and implementing a stepped dietary management strategy；implementing phased rehabilitation training to accelerate the recovery process；carrying out personalized psychological care and health education. With comprehensive nursing care，the patient recovered well and was discharged smoothly after an 18-day hospital stay.

Key words: Complex Congenital Heart Disease, Pulmonary Artery Hypertension Crisis, Obstetrical Nursing

朱岩, 曾妃, 兰美娟, 梁江淑渊, 顾培培, 郭璐瑶, 蔡凌云. 1例妊娠合并复杂性先天性心脏病伴肺动脉高压危象患者的产后护理[J]. 中华护理杂志, 2025, 60(14): 1690-1693.

ZHU Yan, ZENG Fei, LAN Meijuan, LIANG Jiangshuyuan, GU Peipei, GUO Luyao, CAI Lingyun. Postpartum care for a patient with pregnancy complicated by complex congenital heart disease and pulmonary hypertension crisis[J]. Chinese Journal of Nursing, 2025, 60(14): 1690-1693.

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1例妊娠合并复杂性先天性心脏病伴肺动脉高压危象患者的产后护理

Postpartum care for a patient with pregnancy complicated by complex congenital heart disease and pulmonary hypertension crisis

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