1例心肺联合移植术后患者成功妊娠并分娩的护理  

Successful pregnancy and delivery after heart and lung transplantation:a case report

作　　者：李九红[1] 董阿兰[1] 李亚敏[2] 刘义婷 张霞[1] 谢娟玉 余梅 任敏[1] LI Jiuhong;DONG Alan;LI Yamin;LIU Yiting;ZHANG Xia;XIE Juanyu;YU Mei;REN Min

机构地区：[1]中南大学湘雅二医院心血管外科,长沙市410000 [2]中南大学湘雅二医院临床护理学教研室,长沙市410000

出　　处：《中华护理杂志》2023年第1期80-84,共5页Chinese Journal of Nursing

基　　金：湖南省卫生健康委员会一般资助课题(202214023492);中南大学湘雅二医院护理科研基金项目(2019-HLKY-01,2020-HLKY-11)。

摘　　要：总结1例心肺联合移植术后患者成功妊娠并分娩的护理经验。护理要点包括:成立围产期母胎心血管疾病多学科团队,提供全程管理;个体化孕前咨询,选择最佳妊娠时机;调整孕期免疫抑制方案,密切监测血药浓度;精细化的妊娠期管理,预防严重并发症的发生;合理选择分娩方式,严密进行产时监护;产后护理及喂养指导;全程心理疏导,增强患者信心。经过精心的治疗及护理,患者成功妊娠并顺利分娩健康婴儿,术后5 d母婴平安出院,产后3个月随访,患者及婴儿状况良好。To summarize the nursing experience of a patient with successful pregnancy and delivery after heartlung transplantation. Nursing points include:establishing a multidisciplinary team of perinatal maternal-fetal cardiovascular disease to escort patients for successful delivery;individualized pre-pregnancy counseling to choose the best timing for pregnancy;adjustment of the immunosuppressive regimen during pregnancy and close monitoring of blood drug concentrations;refined pregnancy management,prevention of serious complications;rational selection of the mode of delivery and strict monitoring during labor;postpartum care and feeding guidance;psychological counseling to enhance patient confidence. After careful nursing and guidance,the patient successfully conceived and gave birth to a healthy baby. The mother and baby were discharged safely 5 days after the operation,and they were in good condition after 3 months of follow-up.

关 键 词：心肺联合移植 妊娠 免疫抑制 产科护理 

分 类 号：R473.71[医药卫生—护理学]