重症孕产妇救治中心207例高危急值患者的危急值分析  

Analysis on critical value of 207 cases of patients with high critical values in critical maternal treatment center

作　　者：韩利红[1] 杨帅[1] 陈云[1] 

机构地区：[1]广州医科大学附属第三医院,广州市510150

出　　处：《护理实践与研究》2017年第2期107-108,共2页Nursing Practice and Research

摘　　要：目的:探讨重症孕产妇救治中心危急值的种类分布和特点,讨论危急值报告对临床工作的指导意义。方法:收集我重症孕产妇救治中心2016年1~8月期间207例危急值报告患者,分析危急值发生的种类、时间、原因及妊娠结局。结果:我中心危急值报告共207例,其中发生镁离子升高的例数最多,为43例次(20.77%),发生血小板计数减少的例数次之,为32例(15.46%)。危急值主要发生在8∶00~17∶30这一时间段共130例,占危急值报告总数的62.80%。结论:使用硫酸镁时,必须预防和观察镁中毒,科室常规备好急救药品;建立严重血小板减少患者的救治流程;管理者排班时,适当增加白班的护理人员力量,每天设置二值人员;危急值报告为启动快速反应团队提供依据。Objective： To discuss the type distribution and characteristics of critical values in critical maternal treatment center,as well as the guiding ideas of critical value report to clinical work. Methods： Collected 207 cases of patients with critical value reports admitted to our center in the period from January to August 2016,and the occurrence type,time,and cause of critical values as well as pregnancy outcome were analyzed. Results： Among the 207 patients with critical value reports,those with an increased magnesium ion value accounted for the maximum proportion,43 cases（ 20. 77%）,seconded by those with a reduced blood platelet count,32 cases（ 15. 46%）. The critical values mainly appeared in the time period 8： 00-17： 30,130 cases,accounting for62. 80% of total number of critical value reports. Conclusion： When magnesium sulfate is applied,it＇s required to prevent and observe poisoning caused by magnesium ion,and each section should prepare the first-aid medicines conventionally; the treatment process of severe thrombocytopenia patients should be established; in shift arrangement,the management personnel should properly increase the nursing forces in the day shift,and two shifts should be arranged every day; the critical value reports could provide a basis for activating the quick response team.

关 键 词：产科 危急值分析 快速反应团队 

分 类 号：R473.71[医药卫生—护理学]