CAJ | 학술논문

目的总结对单绒毛膜双胎患者行脐带双极电凝减胎术的护理要点.方法对我院68例术前诊断为单绒毛膜双胎一胎异常患者进行脐带双极电凝减胎术,并做好术前、术中、术后的护理.结果 68例中有58例手术成功；术后7d均无感染、胎膜早破等并发症出现.结论术前做好孕妇解释工作,减轻其心理压力；术中密切配合,监测脐带双极电凝减胎术胎儿及被保留胎儿胎心音情况；术后密切观察孕妇体温、宫缩、胎心率等情况,对提高手术成功率及保证术后胎儿的正常发育具有重要意义.
목적 총결대단융모막쌍태환자행제대쌍겁전응감태술적호리요점.방법 대아원68례술전진단위단융모막쌍태일태이상환자진행제대쌍겁전응감태술,병주호술전、술중、술후적호리.결과 68례중유58례수술성공；술후7d균무감염、태막조파등병발증출현.결론 술전주호잉부해석공작,감경기심리압력；술중밀절배합,감측제대쌍겁전응감태술태인급피보류태인태심음정황；술후밀절관찰잉부체온、궁축、태심솔등정황,대제고수술성공솔급보증술후태인적정상발육구유중요의의.
Objective To summarize the key nursing points in patients with monochorionic twins undergoing selective feticide with bipolar electrocoagulation.Methods Selective feticide with bipolar electrocoagulation were performed in 68 monochorionic twins with one twin anomaly.And the perioperative care was performed on the patients.Results Operations were accomplished successfully in 68 cases.No complications,such as infections,premature rupture of membrane and so on,were found in all cases seven days after operation.Conclusions The nursing key points include preoperative psychological nursing by interpretation of the operations,monitoring fetal heart sounds during operations,and close observation of body temperature,uterine contractions and fetal heart rate in pregnant women after operations.Careful perioperative nursing is helpful for improvement of operative success and to ensure normal development of fetus.