Case nursing of a pregnant patient with 1 case of maintenance hemodialysis
1例维持性血液透析患者妊娠的个案护理

摘要

总结1例维持性血液透析（MHD）患者孕产期的护理经验。护理重点包括：全面动态监测生命体征及胎儿状态，及时调整血液净化治疗方案（如增加透析频率、优化超滤量）；严格管理孕期用药（避免肾毒性药物）；实施个体化饮食指导（控制磷、钾摄入，保证优质蛋白及热量供给）。通过多维度干预，患者成功生产，术后顺利出院，母婴安全，该案例验证了精细化护理对MHD妊娠患者妊娠结局的关键作用。

Abstract

This case report highlights the nursing experience of a patient undergoing maintenance hemodialysis (MHD) during pregnancy and childbirth. The key aspects of care included: comprehensive and dynamic monitoring of vital signs and fetal status, timely adjustments to the blood purification treatment plan (such as increasing dialysis frequency and optimizing ultrafiltration volume); strict management of medication use during pregnancy (avoiding nephrotoxic drugs); and personalized dietary guidance (controlling phosphorus and potassium intake, ensuring adequate supply of high-quality protein and calories). Through these multidimensional interventions, the patient successfully gave birth, was discharged smoothly after surgery, and both mother and baby were safe. This case demonstrates the critical role of meticulous nursing in improving the pregnancy outcomes of MHD patients.