照顾患有镰状细胞危象的孕妇。

Caring for the pregnant woman with sickle cell crisis.

作者信息

Adams S

出版信息

Prof Care Mother Child. 1996;6(2):34-6.

Abstract

Pregnancy poses particular risks for women with sickle cell disease and their unborn babies. There is an increased risk of spontaneous abortion and preterm labour. Painful sickle cell crises tend to occur more frequently during pregnancy. A district-wide protocol for dealing with crises would help ensure the woman receives prompt, effective, knowledgeable care from GPs, midwives and A&E staff. Careful assessment is essential and hospital admission is usually required. Adequate relief of pain, and sometimes blood transfusions, are the cornerstones of treatment. Health education plays a part in prevention of crises. Care could be improved by more specialist centres and specialist nurses or midwives.

摘要

镰状细胞病女性患者怀孕会给自身及腹中胎儿带来特殊风险。自然流产和早产风险会增加。孕期镰状细胞痛性危象往往更频繁发生。制定全地区应对危象的方案有助于确保患者从全科医生、助产士和急症室工作人员那里获得及时、有效、专业的护理。仔细评估至关重要，通常需要住院治疗。充分缓解疼痛，有时还需输血，是治疗的基石。健康教育在预防危象方面发挥着作用。增加专科中心以及专科护士或助产士有助于改善护理。