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目的:探讨妊娠期行心内直视手术患者的围手术期护理。方法:回顾性分析2014年10月~2015年5月我院收治的6例妊娠期行心内直视手术患者的临床资料。结果:本组患者术后1例出现低心排综合征、肺出血导致死亡;1例因低心排综合征于第3天羊膜早破致胎死宫内,紧急行剖腹取胎术;4例均顺利拔除气管插管,母婴存活。结论:通过周密精心的围术期专科监护有助于提高孕妇接受体外循环下心脏手术的安全性,减少术后并发症的发生,降低孕产妇和围产儿死亡率。
Objective: To investigate the perioperative nursing of patients undergoing open heart surgery during pregnancy. Methods: The clinical data of 6 patients who underwent open heart surgery during pregnancy from October 2014 to May 2015 in our hospital were retrospectively analyzed. Results: One patient had low cardiac output syndrome after operation and died of pulmonary hemorrhage. One patient died of amniotic membrane premature rupture due to low cardiac output syndrome on the 3rd day. Cases were successfully removed endotracheal intubation, mother and child survived. CONCLUSIONS: Careful perioperative nursing care can help improve the safety of cardiac surgery under cardiopulmonary bypass, reduce postoperative complications and reduce maternal and perinatal mortality.