产科联合ICU救治危重孕产妇158例临床探讨  

158 Cases ClinicalStudy on Critically Ill Pregnant Women Treated with ICU in Obstetrics and Gynecology

作　　者：徐静[1] 钟永红[1] 

机构地区：[1]汕头大学医学院附属粤北人民医院,广东韶关512026

出　　处：《深圳中西医结合杂志》2016年第13期6-8,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:总结产科联合重症监护室(ICU)救治危重孕产妇的临床特征及效果。方法:选取汕头大学医学院附属粤北人民医院ICU自2012年11月至2015年11月收治的158例危重孕产妇的资料,将其分为规律产检组与非规律产检组,全面地分析其临床特征、病因和临床救治效果。结果:产科因素相关疾病为入住ICU的主要病因,排在前3位的分别是:产后出血、子痫和子痫前期重度并发症以及妊娠期急性脂肪肝;治愈率达93.7%以上;非规律产检组的经产妇占比、切除子宫例数以及ICU住院日均较规律产检组增高,差异具有统计学意义(P<0.05)。结论:为及时、有效地对孕产妇危重症早诊断、早治疗,需要加强孕产妇围产期保健工作;针对危重症孕产妇,要及时转诊到ICU。Objective To summarize the clinical features and effects of the treatment of critically ill pregnant women in the Department of Obstetrics and the intensive care unit （ICU）. Methods The data of 158 cases of critically ill pregnant women admitted in our hospital from November 2012 -2015 to November were retrospectively studied. The clinical characteristics, etiology and clinical treatment effect of ICU were analyzed. Results Due to obstetric factors related disease is the main cause of ICU admission, is in the top three are： postpartum hemorrhage and eclampsia and preeclampsia and other severe complications and pregnancy patients with acute fatty liver. The cure rate was 93.7 %; non regular production inspection group of multipara accounted for ratio, resection cases of uterine number and length of stay in the ICU daily, more regular prenatal examination group increased, the differences were statistically significant （P 〈 0.05）. Conclusion In order to timely and effective early diagnosis and early treatment of maternal critically ill patients, it is needed to strengthen maternal perinatal health care for the critically ill pregnant women to timely referral to ICU.

关 键 词：危重症孕产妇 产科治疗 重症监护室 

分 类 号：R459.7[医药卫生—急诊医学]