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

doi:10.3761/j.issn.0254-1769.2023.24.011

摘要/Abstract

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。

关键词: 脑动静脉畸形, 低温治疗, 产科护理

Abstract:

The nursing experience of a pregnant woman with ruptured cerebellar arteriovenous malformation and hemorrhage with consciousness disorder at 20⁺ weeks of pregnancy was summarized. The key points of nursing include：postoperative management of pregnancy combined with brain arteriovenous malformation composite surgery，nursing management of hypothermia treatment in the second pregnancy，the safety of patients and fetus and the whole prevention of complications；early rehabilitation training in stages，and postpartum management based on the recovery of neurological function. Through careful and professional treatment and nursing，the patient had a good prognosis，and was transferred to the rehabilitation department to continue rehabilitation treatment.

Key words: Arteriovenous Malformation, Therapeutic Hypothermia, Obstetrical Nursing

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.

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