探讨ICD-10中O47与O60的正确使用  

Investigation on the Correct Use of O47 and O60 in ICD-10

作　　者：曾美菊 颜颖 黎波 龙仁香 陈里 李明霞[1] 龙双 Zeng Meiju;Yan Ying;Li Bo;Long Renxiang;Chen Li;Li Mingxia;Long Shuang(Changsha Maternal and Child Health Hospital Affiliated to Hunan Normal University,Changsha 410007,Hunan Province,China;不详)

机构地区：[1]湖南师范大学附属长沙市妇幼保健院,湖南省长沙市410007

出　　处：《中国病案》2022年第10期39-41,共3页Chinese Medical Record

摘　　要：ICD-10中O47假临产亚目分类轴心是以37周为界,它包括假早产、先兆早产(O47.0)以及假临产、先兆临产(O47.1)。O60早产的亚目包括早产临产不伴分娩(O60.0)、自然早产临产伴早产分娩(O60.1)、自然早产临产伴足月分娩(O60.2)、治疗性的早产分娩(O60.3)。只要是37周之前临产的,或未临产就剖宫产的都属于O60的编码范围。因此对37周之前临产即早产临产的判断是关键点。先兆早产、早产临产、足月临产概念极易混淆,当妊娠满28周但不足37周者如果出现规律宫缩,但不伴宫颈扩张1cm以上、宫颈容受≥80%,此时没有达到早产临产的标准,只能诊断为先兆早产,编码O47.0。In the ICD-10,the axis of O47 pseudoparturition suborder is defined as 37 weeks,which includes false preterm birth,threatened preterm birth(O47.0)and false parturition,threatened parturition(O47.1).The suborders of O60 preterm labor included preterm labor without delivery(O60.0),spontaneous preterm labor with delivery(O60.1),spontaneous preterm labor with delivery at term(O60.2),and therapeutic preterm delivery(O60.3).As long as labor before 37 weeks,or before delivery at 37 weeks,cesarean section falls within the O60 code.Therefore,the judgment of preterm labor before 37 weeks is the key point.The concepts of threatened preterm labor,preterm labor,and term labor are easily confused.If regular contractions occur at 28 weeks of gestation but less than 37 weeks of gestation,but not accompanied by cervical dilatation of more than 1cm and cervical tolerance of≥80%,the standard of preterm labor is not met,and the diagnosis of threatened preterm labor can only be made,and the code is O47.0.

关 键 词：先兆早产 早产临产 早产分娩 先兆临产 足月临产 ICD-10 

分 类 号：R197.323[医药卫生—卫生事业管理] R714[医药卫生—公共卫生与预防医学]