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

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.