髂内动脉球囊阻断应用于凶险性前置胎盘剖宫产术的围手术期护理

目的总结髂内动脉球囊阻断应用于凶险性前置胎盘剖宫产术中的围手术期的护理经验。 方法对16例凶险性前置胎盘行髂内动脉球囊阻断术患者给予围术期的全程管理，包括术前心理护理、多学科评估、术前准备及病情观察、术中辐射暴露风险防护及球囊导管护理、术后病情观察及术肢护理。 结果16例孕妇均顺利行髂内动脉球囊阻断及剖宫产术，均未发生手术相关并发症，新生儿出生时情况均良好。 结论通过精细化护理干预，能改善髂内动脉球囊阻断应用于凶险性前置胎盘剖宫产术的预后，为临床工作提供借鉴与参考。

Perioperative nursing of internal iliac artery balloon occlusion in dangerous placenta previa cesarean section

ObjectiveTo summarize the perioperative care experience of the application of internal iliac artery balloon occlusionin cesarean section for pernicious placenta previa. MethodsSixteen patients with pernicious placenta previa underwent balloon occlusionin of the internal iliac artery were given perioperative management, including preoperative psychological care, multidisciplinary assessment, preoperative preparation and condition observation, intraoperative radiation exposure risk protection and balloon catheter nursing, postoperative condition observation, limb observation and nursing care. ResultsAll 16 pregnant women underwent balloonocclusionof internal iliac artery and cesarean section. There were no complications related to surgical.The newborns were in good condition at birth. ConclusionsThrough the fine care intervention, the prognosis of cesarean section of aggressive placenta previa with internal iliac artery balloon occlusioncan be improved, providing reference for clinical work.