Perioperative nursing care of a patient in late pregnancy complicated with acute aortic dissection:a case report
10.3761/j.issn.0254-1769.2025.01.005
- VernacularTitle:1例妊娠晚期合并A型主动脉夹层患者的围手术期护理
- Author:
Mengtian WANG
1
;
Qikai TAN
1
;
Junhui FAN
1
;
Yuxuan HE
1
;
Min HONG
1
Author Information
1. 310014 杭州市 浙江省人民医院/杭州医学院附属人民医院手术室
- Publication Type:Journal Article
- Keywords:
Pregnancy;
Acute Aortic Dissection;
Perioperative Nursing;
Obstetrical Nursing
- From:
Chinese Journal of Nursing
2025;60(1):37-42
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the perioperative nursing of a patient with type A aortic dissection in late pregnancy.Key points of nursing include:①timely activation of the aortic dissection emergency plan based on the intelligent platform to improve the efficiency of surgical preparation;forming an aortic coarctation team and rationalising surgical scheduling;②targeted blood pressure management to avoid the rupture of dissecting aneurysm;rapid establishment of extracorporeal circulation to improve the quality of surgical coordination;target temperature management throughout the whole process;close monitoring of the patient's condition to prevent amniotic fluid embolism;real-time haemorrhage monitoring and enhanced blood product management;③adoption of the traffic light rehabilitation automatic assessment and decision-making system for early rehabilitation training after surgery;multidisciplinary joint health education to enhance self-efficacy.Through multidisciplinary integration and precise nursing care,the patient's surgery was successfully completed and discharged 18 days later.With monthly outpatient review,the patient recovered well.
