凶险性前置胎盘合并胎盘植入&quot;一站式&quot;杂交手术配合

doi:10.3877/cma.j.issn.2095-5782.2022.03.018

中华介入放射学电子杂志 ›› 2022, Vol. 10 ›› Issue (03) : 320 -324. doi: 10.3877/cma.j.issn.2095-5782.2022.03.018

介入护理

凶险性前置胎盘合并胎盘植入"一站式"杂交手术配合

杨挺岸¹, 李秋阳², 刘雪莲¹^,^†(

), 高倩², 傅娴¹, 贺海朋³

^1. 51000　广东广州，中山大学附属第三医院麻醉手术中心
^2. 51000　广东广州，中山大学附属第三医院产科
^3. 51000　广东广州，中山大学附属第三医院血管外科

收稿日期:2021-07-21 出版日期:2022-08-25
通信作者: 刘雪莲

"One-stop" hybrid surgery treatment of medical care cooperation in patients with pernicious placenta previa by implantation

Tingan Yang¹, Qiuyang Li², Xuelian Liu¹^,^†(), Qian Gao², xian Fu¹, Haipeng He³

^1. Anesthesia Operation Center, the Third Affiliated Hospital of Sun Yat-sen Univesity, Guangdong Guangzhou 510000, China
^2. Department of Obstetrics, the Third Affiliated Hospital of Sun Yat-sen Univesity, Guangdong Guangzhou 510000, China
^3. Department of Vascular Surgery, the Third Affiliated Hospital of Sun Yat-sen Univesity, Guangdong Guangzhou 510000, China

Received:2021-07-21 Published:2022-08-25
Corresponding author: Xuelian Liu

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目的

探讨"一站式"杂交手术救治凶险性前置胎盘患者的应用价值及重要性。

方法

对多学科合作行杂交手术救治凶险性前置胎盘合并胎盘植入患者的病例进行回顾性分析，总结"一站式"杂交手术多学科医护合作和护理配合要点。

结果

经过多学科默契配合下的"一站式"杂交手术以及"L"型护理配合模式，手术顺利完成，术后无并发症发生，产妇于术后第4天出院。

结论

凶险性前置胎盘患者病情危重、手术难度大，通过多学科讨论会、辐射防护、安全转运、医护默契配合以及根据潜在并发症采取预见性的护理措施是"一站式"杂交手术成功的要点。

关键词: 凶险性前置胎盘, 杂交手术, 髂内动脉预置球囊导管, 手术配合

Objective

To explore the application value and importance of "one-stop" hybrid surgery in the treatment of patients with pernicious placenta previa by implantation.

Methods

This paper retrospectively analyzed the cases of patients with pernicious placenta previa by implantation who were treated by multidisciplinary cooperative hybrid surgery and summarized the key points of medical care cooperation and nursing coordination in "one-stop" hybrid surgery.

Results

The "one-stop" hybrid surgery with multidisciplinary cooperation and the "L" type nursing cooperation mode ensured the smooth completion of the surgery without postoperative complications, and the puerpera was discharged on the fourth day after surgery.

Conclusions

Patients with pernicious placenta previa by implantation are critically ill and difficult to operate.The key points for the success of "one-stop" hybrid surgery are multidisciplinary consultation, radiation protection, safe transport, the skilled multidisciplinary medical care and predictive nursing measures according to potential complications.

Key words: Pernicious placenta previa, Hybrid surgery, Internal iliac artery occlusion, Operation cooperation

图1 输尿管镜下置管术配合示意图

图2 髂动脉造影、髂内动脉球囊置入术配合示意图

图3 剖宫产术配合示意图

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"One-stop" hybrid surgery treatment of medical care cooperation in patients with pernicious placenta previa by implantation

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"One-stop" hybrid surgery treatment of medical care cooperation in patients with pernicious placenta previa by implantation