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4例危重症甲型流感孕产妇的护理
Nursing care of 4 critically ill pregnant and lying-in women with influenza A

王淑芹 张春艳 万娜 董亮 李绪言 孙兵 贾燕瑞 童朝晖

Wang Shuqin, Zhang Chunyan, Wan Na, Dong Liang, Li Xuyan, Sun Bing, Jia Yanrui, Tong Zhaohui

【摘要】目的 通过总结 4 例危重症甲型流感孕产妇的护理,为危重症甲型流感孕产妇观察与护 理及抢救提供临床经验。方法 对4 例危重症甲型流感孕产妇的临床资料进行分析,总结其临床特点 和护理经验。结果 1 例孕妇引产后康复出院;1 例孕妇病情好转后出院继续妊娠;1 例孕妇因缺氧引 发宫缩来院前早产,胎儿重度窒息死亡,孕妇因呼吸衰竭死亡;1 例产妇病情稳定好转,在继续康复中。 结论 孕产妇感染甲型流感的重症发病率高,病情变化快,病死率高。危重症甲型流感孕妇的护理应 重视并动态观察病情变化,做好急救管理;做好各种氧疗方式的目标性护理;强化抗甲型流感病毒的用 药护理;重视产科评估与护理及关注心理护理;可以提高患者救治成功率。
【摘要】Objective To summarize the nursing experience of 4 cases of pregnant and lying-in women with critical influenza A, so as to provide clinical experience for the observation and nursing for critically ill patients. Methods The clinical data of 4 critically ill pregnant and lying-in women were analyzed, and the clinical characteristics and nursing experience were summarized. Results The pregnant patient of one case discharged from hospital after induction of labor. Another pregnant patient discharged from hospital after the improvement of condition. Due to hypoxia, one pregnant woman caused premature birth of uterine contraction. The pregnant women died respiratory failure, and the fetus died of severe asphyxia. The situation of the lyingin woman was stable, and continuing to rehabilitation. Conclusions The incidence of critical influenza A in pregnant and lying-in women is high, with rapid changes in the condition and high mortality rate. The nursing care for critically ill pregnant and lying-in women with influenza A should pay attention to the dynamic observation of the changes of the disease. Rescue management, targeted nursing of oxygen therapy, antivirotic treatment, obstetric assessment and nursing, and psychological nursing can improve the success rate of treatment of patients.

【关键词】流感,人; 呼吸窘迫综合征,成人; 孕产妇; 重症肺炎
【关键词】Influenza, human; Respiratory distress syndrome, adult; Pregnant and lying-in women; Severe pneumonia