[1]熊彩霞,罗丽波,屠凤鸣,等.心脏移植术后妊娠孕妇行剖宫产术一例的护理[J].军事护理,2023,40(07):107-109.[doi:10.3969/j.issn.2097-1826.2023.07.025]
 XIONG Caixia,LUO Libo,TU Fengming,et al.Nursing Care of Cesarean Section for A Pregnant Woman after Heart Transplantation[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(07):107-109.[doi:10.3969/j.issn.2097-1826.2023.07.025]
点击复制

心脏移植术后妊娠孕妇行剖宫产术一例的护理
分享到:

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年07期
页码:
107-109
栏目:
病例报告
出版日期:
2023-07-15

文章信息/Info

Title:
Nursing Care of Cesarean Section for A Pregnant Woman after Heart Transplantation
文章编号:
2097-1826(2023)07-0107-03
作者:
熊彩霞1罗丽波1 屠凤鸣1 王时1翟忠昌2
(1.华中科技大学同济医学院附属协和医院 妇产科,湖北 武汉 430022; 2.华中科技大学同济医学院附属协和医院 心脏大血管外科)
Author(s):
XIONG Caixia1LUO Libo1TU Fengming1WANG Shi1ZHAI Zhongchang2
(1.Department of Obstetrics and Gynecology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,Hubei Province,China; 2.Department of Cardiovascular Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology)
关键词:
心脏移植 妊娠 剖宫产 护理
Keywords:
heart transplantation pregnancy cesarean section nursing
分类号:
R473.54; 473.71
DOI:
10.3969/j.issn.2097-1826.2023.07.025
文献标志码:
A
摘要:
总结1例心脏移植术后妊娠孕妇行剖宫产术的护理经验。护理要点包括:术前母儿安危监测; 剖宫产术后产妇生命体征监测及液体管理、下肢深静脉血栓的预防、感染的预防; 产后母乳喂养及新生儿疫苗接种指导。围术期注意监测心脏功能,观察免疫排斥反应,管理免疫抑制药物,经过11 d的精心治疗与护理,母婴顺利康复出院。随访6个月,母婴情况良好,婴儿发育指标未见明显异常。
Abstract:
This study aimed to summarize the nursing experience of caring for a pregnant woman undergoing cesarean section who had received heart transplantation.The nursing key points included monitoring the safety of mother and baby before operation; monitoring vital signs and implementing fluid management of the mother after cesarean section,as well as preventing deep venous thrombosis of lower extremities and infection; guiding postpartum breastfeeding and neonatal vaccination after operation.The perioperative care included monitoring cardiac function,observing immune rejection,and managing immunosuppressive drugs.After 11 days of careful treatment and nursing care,the mother and baby recovered and left the hospital.Dursing the 6 months of follow-up,the mother and baby were in good condition,and there was no obvious abnormality in infant development indexes.

参考文献/References:

[1] 董念国,廖崇先.心肺移植学[M].北京:科学出版社,2019:28-29.
[2] KALLAPUR A,JANG C,YIN O,et al.Pregnancy care in solid organ transplant recipients[J].Int J Gynaecol Obstet,2022,157(3):502-513.
[3] RAJAPREYAR I N,SINKEY R G,JOLY J M,et al.Management of reproductive health after cardiac transplantation[J].Matern Fetal Neonatal Med,2021,34(9):1469-1478.
[4] LOWENSTEIN B R,VAIN N W,PERRONE S V,et al.Successful pregnancy and vaginal delivery after heart transplantation[J].Am J Obstet Gynecol,1988,158(3 Pt 1):589-590.
[5] 王晨虹,廖运先.心脏移植术后妊娠活产分娩一例[J].中华围产医学杂志,2016,19(6):467-469.
[6] BOYLE S,SUNG-HIM MEW T,LUST K,et al.Pregnancy following heart transplantation:a single centre case series and review of the literature[J].Heart Lung Circ,2021,30(1):144-153.
[7] D'SOUZAR,SOETE E,SILVERSIDES C K,et al.Pregnancy outcomes following cardiac transplantation[J].J Obstet Gynaecol Can,2018,40(5):566-571.
[8] DEFILIPPIS E M,BLUMER V,MENTZ R J,et al.In-Hospital outcomes in pregnancy after heart transplantation[J].Am J Cardiol,2022(172):68-72.
[9] COWAN S W,DAVISON J M,DORIA C,et al.Pregnancy after cardiac transplantation[J].Cardiol Clin,2012,30(3):441-452.
[10]中华医学会妇产科学分会产科学组.妊娠期及产褥期静脉血栓栓塞症预防和诊治专家共识[J].中华妇产科杂志,2021,56(4):236-243.
[11]DEFILIPPIS E M,KITTLESON M M.Pregnancy after heart transplantation[J].Card Fail,2021,27(2):176-184.
[12]THIAGARAJAN K M,ARAKALI S R,MEALEY K J,et al.Safety considerations:breastfeeding after transplant[J].Prog Transplant,2013,23(2):137-46.
[13]王晨虹,廖运先,程黎,等.心脏移植术后妊娠期管理[J].中国医师杂志,2015,17(10):1441-1444.

相似文献/References:

[1]顾明,弓宸,康晓凤,等.基于Q方法的心脏移植受者服药依从障碍干预偏好研究[J].军事护理,2021,38(03):1.[doi:10.3969/j.issn.1008-9993.2021.03.001]
 GU Ming,GONG Chen,KANG Xiaofeng,et al.Preference of Interventions on Medication Compliance Disorders among the Heart Transplant Recipients: A Q Methodology Research[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(07):1.[doi:10.3969/j.issn.1008-9993.2021.03.001]
[2]罗白寒,张辰,庄菲斐,等.心脏移植术后发生人细小病毒B19感染患者11例的护理[J].军事护理,2022,39(09):98.[doi:10.3969/j.issn.1008-9993.2022.09.025]
 LUO Baihan,ZHANG Chen,ZHUANG Feifei,et al.Clinical Observation and Nursing of 11 Patients with Human Parvovirus B19 Infection after Heart Transplantation[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(07):98.[doi:10.3969/j.issn.1008-9993.2022.09.025]

备注/Memo

备注/Memo:
【 收稿日期 】 2023-03-30 【 修回日期 】 2023-06-15
【 作者简介 】 熊彩霞,硕士,主管护师,电话:027-85350376
【 通信作者 】 罗丽波,电话:027-85350376
更新日期/Last Update: 2023-07-15