1例妊娠合并主动脉夹层患者剖宫产同期行Bentall术的基于循证的术中护理  

Intraoperative nursing care of a pregnant woman with aortic dissection undergoing Bentall operation during cesarean section based on evidece

作　　者：蒋莹莹 王敏丹 陆玉芬 殷文文 周敏娟 毛辰蓉 JIANG Yingying;WANG Mindan;LU Yufen;YIN Wenwen;ZHOU Minjuan;MAO Chenrong(Department of Operating Room,the Affiliated Suzhou Hospital of Nanjing Medical University/Suzhou Municipal Hospital,Suzhou 215000,China;Department of Surgery,the Affiliated Suzhou Hospital of Nanjing Medical University/Suzhou Municipal Hospital,Suzhou 215000,China)

机构地区：[1]南京医科大学附属苏州医院(苏州市立医院)手术室,江苏苏州215000 [2]南京医科大学附属苏州医院(苏州市立医院)大外科,江苏苏州215000

出　　处：《医药高职教育与现代护理》2023年第1期61-64,78,共5页Medical Higher Vocational Education and Modern Nursing

摘　　要：妊娠合并急性主动脉夹层临床罕见且致死率高。作者通过回顾1例基于循证的妊娠晚期合并主动脉夹层患者剖宫产同期行Bentall手术的术中护理方案,详细介绍了术前护理循证的方法,以及预防该患者围术期可能出现的并发症的护理措施,包括术前预保温、预防围术期压力性损伤、剖宫产术后观察、Bentall术中体温调节等,为同类患者的临床护理措施提供参考。Pregnancy complicated with acute aortic dissection is rare and the mortality rate is high. The author reviewed the intraoperative nursing plan of a patient with aortic dissection in the third trimester of pregnancy who underwent Bentall operation and cesarean section, and introduced the evidence-based methods of preoperative nursing and nursing measures to prevent the complications that may occur in the perioperative period. Including preoperative preheat preservation, prevention of perioperative pressure injury, postoperative observation of cesarean section, intraoperative temperature regulation of Bentall, which can provide a reference for the clinical nursing measures of similar patients.

关 键 词：心脏外科手术 围术期护理 剖宫产术 循证实践 

分 类 号：R473.71[医药卫生—护理学]