Background This study aims to analyze and summarize the postoperative nursing care of a patient with pregnancy complicated by aortic dissection who achieved"four preservations"(preserving the fetus’life,the...Background This study aims to analyze and summarize the postoperative nursing care of a patient with pregnancy complicated by aortic dissection who achieved"four preservations"(preserving the fetus’life,the newborn’s life,the pregnant woman’s uterus,and the pregnant woman’s aortic valve)in our hospital,in order to explore nursing methods for such patients,summarize clinical experience,and guide clinical practice.Methods Our hospital treated a case of pregnancy complicated by aortic dissection in May 2022.After admission,the patient underwent major vascular surgery and developed chylothorax postoperatively.A nutritionist was consulted to calculate the patient’s nutritional needs and develop a daily meal plan.The nurse guided the patient to complete the required food intake.The patient underwent both major vascular surgery and cesarean section;finding a balance between anticoagulation and bleeding was essential.A group discussion was organized,with daily blood tests performed to maintain the patient’s INR between 1.8-2.5.How to initiate early postoperative activity for a pregnant patient after major vascular surgery has not been reported in the literature.The hospital’s cardiac rehabilitation doctors and nurses developed an exercise plan for the patient,and the nurse assisted the patient in gradually completing the program.The patient simultaneously faced the dual roles of a mother caring for a newborn and a patient recovering from aortic dissection surgery,enduring immense psychological pressure.To facilitate role transition and stress relief,a psychiatrist assessed the patient and provided psychological guidance and medication treatment based on the assessment results.The nurse was responsible for monitoring,evaluating,and recording the patient’s progress.Results The patient successfully underwent concurrent major vascular replacement surgery and cesarean section,ensuring a safe childbirth for the mother and a successful delivery for the baby.The surgery also preserved the patient’s aortic valve展开更多
文摘Background This study aims to analyze and summarize the postoperative nursing care of a patient with pregnancy complicated by aortic dissection who achieved"four preservations"(preserving the fetus’life,the newborn’s life,the pregnant woman’s uterus,and the pregnant woman’s aortic valve)in our hospital,in order to explore nursing methods for such patients,summarize clinical experience,and guide clinical practice.Methods Our hospital treated a case of pregnancy complicated by aortic dissection in May 2022.After admission,the patient underwent major vascular surgery and developed chylothorax postoperatively.A nutritionist was consulted to calculate the patient’s nutritional needs and develop a daily meal plan.The nurse guided the patient to complete the required food intake.The patient underwent both major vascular surgery and cesarean section;finding a balance between anticoagulation and bleeding was essential.A group discussion was organized,with daily blood tests performed to maintain the patient’s INR between 1.8-2.5.How to initiate early postoperative activity for a pregnant patient after major vascular surgery has not been reported in the literature.The hospital’s cardiac rehabilitation doctors and nurses developed an exercise plan for the patient,and the nurse assisted the patient in gradually completing the program.The patient simultaneously faced the dual roles of a mother caring for a newborn and a patient recovering from aortic dissection surgery,enduring immense psychological pressure.To facilitate role transition and stress relief,a psychiatrist assessed the patient and provided psychological guidance and medication treatment based on the assessment results.The nurse was responsible for monitoring,evaluating,and recording the patient’s progress.Results The patient successfully underwent concurrent major vascular replacement surgery and cesarean section,ensuring a safe childbirth for the mother and a successful delivery for the baby.The surgery also preserved the patient’s aortic valve
