| 姚丽娜,杨伟梅,陆丽娟.1例重度肺动脉高压妊娠患者在ECMO支持下终止妊娠的护理[J].上海护理,2026,26(7): |
| 1例重度肺动脉高压妊娠患者在ECMO支持下终止妊娠的护理 |
| Nursing Care for a Pregnant Patient with Severe Pulmonary Hypertension Undergoing Pregnancy Termination Supported by ECMO |
| 投稿时间：2025-07-27 修订日期：2026-07-16 |
| DOI： |
| 中文关键词: 肺动脉高压 妊娠 体外膜肺氧合 危重病护理 |
| 英文关键词:pulmonary hypertension pregnancy extracorporeal membrane pulmonary oxygenation critical care. |
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| 中文摘要: |
| 总结一例重度肺动脉高压妊娠患者在ECMO支持下终止妊娠的护理经验,护理要点包括:组建多学科团队,确保产时安全；肺动脉高压危象的急救护理；做好产后容量管理,避免心力衰竭；出血和血栓的平衡管理；感染的预防及护理；实施早期运动训练,促进快速康复；给予个体化心理护理,帮助患者走出负性情绪。经过16天的精心救治和护理,患者心功能好转出院。 |
| 英文摘要: |
| The nursing experience of termination of pregnancy under ECMO support in a pregnant patient with severe pulmonary arterial hypertension is summarised. The main points of nursing care include: form a multidisciplinary team to ensure intrapartum safety; provide emergency care for pulmonary hypertension crisis; implement postpartum volume management to prevent heart failure; balance hemorrhage and thrombosis control; prevent and manage infections; conduct early mobilization training to promote rapid recovery; and deliver personalized psychological care to help the patient overcome negative emotions. After 16 days of intensive treatment and care, the patient was discharged with improved cardiac function. |
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