43例孕产妇死亡病因分析  

Retrospective Analysis of 43 cases of Maternal Deaths

作　　者：谢军[1] 王弓力[1] 

机构地区：[1]中国福利会国际和平妇幼保健院,上海200030

出　　处：《中国临床医学》2006年第5期789-790,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:通过对43例孕产妇死亡资料回顾性分析,研究1958-2004年间孕产妇死亡率变化趋势、孕产妇死亡原因及其变化特征,为降低孕产妇死亡率提出预防和干预建议。方法:统计1958年1月-2004年12月来我院就诊或住院的孕产妇死亡情况。将47年分6个阶段(1958-1960,1961-1970,1971-1980,1981-1990,1991-2000,2001-2004)。结果:47年间我院总活产数256 062例,其中共有43例孕产妇死亡,总孕产妇死亡率为184．72／10万,死亡率从第一阶段的420．65／10万下降至第6阶段的0／10万。死亡原因羊水栓塞排列第1位,产科出血、妊娠合并心脏痛、子痫前期及子痫并列排在第2位。结论:羊水栓塞是分娩过程中极其严重的分娩并发症,预防和重视羊水栓塞是降低孕产妇死亡率的关键。Objective：The purpose of this study was to evaluate the changing rate of maternal mortality and the causes of maternal deaths during the past 47 years（1958-2004） and to figure out the appropriate prevention and intervention to reduce the rate. Methods：The data of maternal deaths in my hospital from Jan. 1958 to Sep. 2004 were analysed retrospectively. Results： There were total 252062 numbers of live births in this peried. There were 43 maternal deaths and the overall average maternal mortality of the past 47 years was 184. 72 per 100 000 deliveries. The maternal mortality rate was decreasing from 420. 65 per 100 000 deliveries in 1958-1960 to 0 per 100 000 in 2001~2004. The leading cause of maternal mortality was amniotic fluid embolism. The second cause of maternal mortality was obstetric hemorrhage, heart diseases complicated pregnancy, pre eclampsia ＆ eclampsia. Condusion：Amniotic fluid embolism is the most dangerous diseases during delivery. It shouldn＇t be neglected to reduce the rate of maternal mortality is that prevent and pay attention to amniotic fluid embolism.

关 键 词：孕产妇死亡率 死亡原因 羊水栓塞 

分 类 号：R172[医药卫生—妇幼卫生保健]