摘要
目的 通过分析急危重孕产妇的病因分布、母婴结局、孕产期保健等相关情况,为降低急危重孕产妇的发生率及提高其救治成功率提供依据.方法 对西安市北方医院产科2007年1月～2009年3月的48例急危重孕产妇的抢救资料进行回顾性分析.结果 48例急危重孕产妇中,初产妇29例（60.42%）,经产妇19例（39.58%）;抢救的前3位病因分别为产科出血（58.33%）、妊娠期高血压疾病（31.25%）、妊娠合并心血管疾病（4.17%）;在孕周分布上,孕37～41周22例（占45.83%）,孕12周以内21例（占43.75%）,孕28～36周4例（占8.33%）,孕12～27周1例（仅占2.08%）;有高危因素者31例,高危因素率明显高于同期住院非急危重孕产妇（62.96% νs 30.68%;χ2=20.83,P＆lt;0.001）.患者中有28例发生失血性休克,22例进行了输血抢救,2例行子宫切除术,15例行附件切除术,所有孕产妇均抢救成功.结论 早期筛查与识别妊娠期危险因素,尤其重视产科出血,提高对产科急危重症及其并发症的预防与临床处理能力,是降低孕产妇急危重症的发生率和提高抢救成功率的有效措施.
Objective To investigate distrbution of causes of critical pregnant and parturient women, maternal and infantile outcomes and antenatal and postpartum health so as to provide basis for reducing incidence of emergent, severe and critical pregnant and parturient women and improving success rescue rate. Methods The clinical data of 48 emergent, severe and critical pregnant and parturient women who were rescued in Xi＇ an Beifang Hospital in a period from Jan. , 2007 to Mar. , 2009 was analyzed retrospectively. Results Of 48 emergent severe and critical pregnant and parturient women, 29 of them （60.42%） was primiparae and 19 of them （ 39.58% ） was multiparae. The first three causes of rescue were obstetric hemorrhage （58.33%）, hypertensive disorder complicating pregnancy （31.25%） and pregnancy associated with cardiovascular diseases （4.17%）. 22 pregnant women rescued were in 37-41 weeks of gestationa（45.83% ）, 21 pregnant women were within 12 weeks of gestation （43.75%）, 4 pregnant women were in 28-36 weeks of gestation （8.33%） and 1 pregnant woman was in 12-27 weeks of gestation（2.08% ）. 31 pregnant women had high risk factors and the high risk rate was significantly higher than that among non-critical pregnant and parturient women admitted to the hospital in the same period （62.96% vs 30.68% ;X2 = 20.83, P 〈0.001 ）. Among all cases, 22 pregnant and parturient women suffered from hemorrhagic shock, of them, 22 needed to rescue by blood transfusion, 2 underwent hysterectomy and 15 underwent adnexectomy. All pregnant and parturient women were successfully rescued. Conclusion Early screening and identifying the risk factors, especially paying more attention to emergent obstetric hemorrhage, raising ability to prevent and clinically manage severe and critical conditions and complications are effective measures to reduce incidence and improve success rate of emergent, severe and critical pregnant and parturient women.
出处
《中国妇幼健康研究》
2010年第5期667-669,共3页
Chinese Journal of Woman and Child Health Research
关键词
孕产妇
急危重症
抢救
回顾性分析
pregnant and parturient women
severe and critical conditions
rescue
retrospective analysis
