产后出血孕产妇会诊与转诊策略  

Transfer and consultation strategy for pregnant women with postpartum hemorrhage

作　　者：杨怡珂 郭晓玥[1] 王妍[1] 赵扬玉[1] YANG Yike;GUO Xiao-yue;WANG Yan;ZHAO Yang-yu(Department of Obstetrics and Gynecology,Peking University Third Hospital&National Clinical Research Center for Obstetrics and Gynecology&National Center for Healthcare Quality Control in Obstetrics,Beijing 100191,China)

机构地区：[1]北京大学第三医院妇产科,国家妇产疾病临床医学研究中心,国家产科专业医疗质量控制中心,北京100191

出　　处：《中国实用妇科与产科杂志》2024年第10期969-973,共5页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：国家重点研发计划(2021YFC2701500,2021YFC2701505)。

摘　　要：产后出血是世界范围内孕产妇死亡的首要原因,危及全球孕产妇安全。我国孕产妇死亡率在过去30年显著下降,但随着二胎及三孩政策的放开,高危孕产妇的数量逐年增长,而严重产后出血的发生率亦呈上升趋势。针对孕期产后出血高危因素识别、各级助产机构之间的及时转诊和会诊是预防严重产后出血、降低孕产妇死亡的关键管理措施。北京大学第三医院妇产科团队通过对区域内严重产后出血病例回顾,总结区域内严重产后出血病例转诊和会诊情况及妊娠结局,提出区域内具有产后出血高危因素及发生严重产后出血危重孕产妇的转诊和会诊流程策略,供不同区域危重孕产妇分级诊疗管理进行参考。Postpartum hemorrhage is the leading cause of maternal mortality worldwide,posing a threat to the safety of pregnant women globally.Although China has seen a significant decrease in maternal mortality rate over the past 30 years,but with the release of policies allowing for second and third child,there has been an increasing number of high-risk pregnant women and a rising incidence of severe postpartum hemorrhage.Identifying high-risk factors for postpartum hemorrhage during pregnancy and timely transfer and consultation between different levels of midwifery institutions are key management measures to prevent severe postpartum hemorrhage and reduce maternal mortality.Our team reviewed cases of severe postpartum hemorrhage in the region,summarized the transfer and consultation situations as well as pregnancy outcomes,and proposed a strategy for transferring high-risk pregnant women with postpartum hemorrhage and the consultation within the region.This can serve as a reference for graded diagnosis and treatment management of critically ill pregnant women in different regions.

关 键 词：产后出血 危重孕产妇 转诊 会诊 表单化管理 

分 类 号：R714.461[医药卫生—妇产科学]