一例胎儿颈部肿块压迫气道行子宫外产时手术的护理

Nursing care of the ex-utero intrapartum treatment in one case fetal neck mass oppressing airway

目的：探讨多科室协作完成胎儿颈部肿块压迫气道行子宫外产时手术的护理要点，保障患者安全。方法通过术前充分准备，对1例产前超声诊断为颈部肿块压迫气道的胎儿实施子宫外产时手术。护理方面做好术前准备和术中护理，密切观察产妇和胎儿的生命体征。结果子宫外产时手术顺利完成，术后胎儿和产妇生命体征平稳，胎儿Apgar评分7～8分，手术获得成功。结论充分的物资准备，多科室协作，术前演练以及医护密切配合是子宫外产时手术成功的重要保障。

Objective To explore nursing care of the ex-utero intrapartum treatment (EXIT) in fetal neck mass oppressing airway. Methods A case of EXIT in which a fetal neck mass was diagnosed on ultrasound was fully prepared supplies and carried out. Nursing care was well implemented and vital signs of the puerpera and fetus were observed in preoperative and intraoperative surgery. Results The EXIT procedure was successful performed and vital signs of the puerpera and fetus were steadied. The score of Apgar was seven to eight. Conclusions Adequate equipment, multi-department collaboration, preoperative exercise and close cooperation are the important guarantee for the success of ex-utero intrapartum treatment.