从临床救治再谈产科重症监护病房建设  

Discuss the construction of obstetric intensive care unit from the perspective of clinical treatment

作　　者：李磊 王谢桐 LI Lei;WANG Xie-tong(Department of Obstetrics and Gynecology,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China;Medical Science and Technology Innovation Center,Shandong First Medical University,Jinan 250117,China;Department of Obstetrics and Gynecology,Shandong Provincial Maternal and Child Health Care Hospital,Jinan 250014,China;Key Laboratory of Maternal&Fetal Medicine of National Health Commission of China,Shandong Provincial Maternal and Child Health Care Hospital Affiliated to Qingdao University,Jinan 250014,China)

机构地区：[1]山东第一医科大学附属省立医院产科,山东济南250021 [2]山东第一医科大学医学科技创新中心,山东济南250117 [3]山东省妇幼保健院,山东济南250013 [4]国家卫生健康委员会母胎医学重点实验室,山东济南250013

出　　处：《中国实用妇科与产科杂志》2024年第10期974-978,共5页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：国家重点研发计划(2021YFC2701500)。

摘　　要：近年来,孕产妇死亡率下降速度明显趋缓。加强产科重症监护病房(ICU)建设、创建有效早期预警评分系统、及早筛选有临床失代偿危险的患者、及早干预,是降低孕产妇发病率和死亡率、实现《中国妇女发展纲要(2021—2030年)》目标的基本战略。产科ICU拥有强大的监护和救治能力,但随着产科患者病情越来越复杂,其管理应该是无缝的,应进一步针对个别病例组建个性化多学科诊疗团队(MDT),制订分娩计划以及ICU住院计划,进一步提高产科危重患者救治的成功率。Maternal mortality has declined significantly,but the rate of decline has slowed significantly in recent years.Strengthening the construction of obstetric intensive care units,creating an effective early warning scoring system,screening and intervention of patients at risk of clinical decompensation early,are the basic strategies to reduce maternal morbidity and mortality.These are also a basic strategy to achieve the goals of Women's Development in China(2021-2030).Obstetric intensive care unit has a strong monitoring and treatment capacity,but as the condition of obstetric patients becomes more and more complex,its management should be seamless,and personalized MDT diagnosis and treatment plan,delivery plan and ICU hospitalization plan should be further established for individual cases to further improve the success rate of treatment of critical obstetric patients.

关 键 词：孕产妇发病率 孕产妇死亡率 产科重症监护病房 预警评分系统 临床救治 

分 类 号：R714[医药卫生—妇产科学]