Nursing care of a case of thrombotic microangiopathy complicated with intrahepatic cholestasis of pregnancy

doi:10.3761/j.issn.0254-1769.2025.15.016

Abstract

Abstract:

To summarize the nursing care of a case of thrombotic microangiopathy complicated late pregnancy with intrahepatic cholestasis of pregnancy resulting in fetal demise. Nursing interventions include：to optimize the maternal status，reduce the risk of induction of labor； to assess the cervical conditions，and complete the preparations for childbirth； to ensure the safety of childbirth and prevent and treat postpartum hemorrhage； to standardize blood purification，promote the recovery of renal function； to pay attention to breast conditions and be vigilant against the occurrence of mastitis； to provide grief care for perinatal loss. After careful treatment and care，the patient was discharged after 25 d of hospitalization，and the prognosis was good at 1-month follow-up after discharge.

Key words: Thrombotic Microangiopathy, Intrahepatic Cholestasis of Pregnancy, Obstetrical Nursing

摘要：

总结1例孕晚期血栓性微血管病合并妊娠期肝内胆汁淤积症患者胎儿胎死宫内的护理。护理要点：实施预见性护理，降低引产风险；评估宫颈条件，完善分娩准备；保障分娩安全，防治产后出血；规范化的血液净化护理，促进肾功能恢复；关注乳房情况，警惕乳腺炎发生；针对围产期胎儿丧失，开展哀伤护理。经过精心的治疗和护理，患者住院25 d后出院，出院后1个月随访，预后良好。

关键词: 血栓性微血管病, 妊娠期肝内胆汁淤积症, 产科护理

YANG Yinglin, ZHANG Yan, ZHANG Lili, XU Xiaowei. Nursing care of a case of thrombotic microangiopathy complicated with intrahepatic cholestasis of pregnancy[J]. Chinese Journal of Nursing, 2025, 60(15): 1896-1899.

杨颖琳, 张焱, 张莉莉, 许骁玮. 1例血栓性微血管病合并妊娠期肝内胆汁淤积症患者的护理[J]. 中华护理杂志, 2025, 60(15): 1896-1899.

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