Perioperative nursing of patients with giant ruptired brain arteriovenous malformations in late pregnancy undergoing surgery assisted by multidisciplinary cooperation
ZHANG Mei-fang
XUE Qing
ZHANG Xin-yuan
Abstract：Objective To summarize the perioperative nursing experience of patients with giant ruptired brain arteriovenous malformations(AVM)in late pregnancy undergoing surgery assisted by multidisciplinary cooperation.Methods The clinical data of a 30+3 weeks pregnant woman with a giant ruptured brain AVM were retrospectively analyzed,and the nursing experience was summarized.Results A 30-year-old woman was admitted to our hospital due to sudden headache with unconsciousness and convulsion for more than 8 hours.The head and neck CTA and CT scanning showed a right occipital lobe AVM,with a size of about 4.8 cm×3.7 cm×5.0 cm,and casts in the bilateral lateral ventricle,the third ventricle and the fourth ventricle.In order to ensure the safety of the patient and her infant,multidisciplinary consultation was actively adopted for surgical treatment.Cesarean section was performed under the cooperation of obstetrics and anesthesiology doctors,and a boy was born with an Apgar score of 7 points.After the delivery of the fetus,the patient was changed into a different position and underwent neurosurgery,using neuroendoscopy to remove the brain AVM and intracranial hematoma.Multidisciplinary nursing mode was actively adopted during the perioperative period to control blood pressure,nutritional support,psychological intervention,and continuous nursing.After 37 days of hospitalization,the patient was discharged and established a good mother-child relationship.Conclusions It is suggested to actively adopt multidisciplinary consultation for surgical treatment of patients with giant ruptured brain AVM in late pregnancy.During the perioperative period,attention should be paid to monitoring the patient's blood pressure,strengthening nutritional support and psychological intervention,and actively preventing surgical complications.
Keywords：Brain ruptured arteriovenous malformationsCerebral hemorrhageLate pregnancyMultidisciplinary cooperationSurgical treatmentPerioperative periodNursing
Publication Date：2024-03-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 169-171 )