综合ICU危重孕产妇现状的临床研究

目的：分析ICU收治的危重孕产妇的临床特点、治疗干预结果。方法：收集2010-01～2012—10湖南省常德市第一人民医院中心ICU收治的46例急危重症孕产妇的临床资料，进行回顾性分析。结果：46例危重孕产妇平均年龄（28．8±6．4）岁，孕龄（32．2±7．6）周。人住ICU的最常见原因为产后大出血（11例，23．9％），其次为妊娠相关性高血压（8例，17．4％），死亡4例（8．7％）。合并基础疾病组ICU治疗时间（5．3±5．1）d，并发重症产科疾病组ICU治疗时间（2．7±1．7）d。结论：危重孕产妇人住ICU的最常见原因为产后大出血、妊娠相关性高血压。应根据孕产妇人住ICU的病因及早干预。

Analysis of clinical characteristics and outcomes of obstetric patients admitted to the Intensive Care Unit

Objective：To review a series of critically ill obstetric patients admitted to ICU and assess the spec-trum of disease, interventions and mortality. Method ： From January 2010 to October 2012,46 patients of critically ill obstetric patients were admitted to the ICU of the First Hospital of Changde City, Hunan Province. A retrospec rive analysis was made on their data including causes of critical illness,laboratory test results,ICU treatment, time course of ICU stay and the final maternal mortality. Result：During the 34 month period there were 46 obstetric pa-tients mean age （28.8±6.4） years old,mean gestational age （32.2±7.6） weeks] were transferred to the ICU for critical care. The most common obstetric causes of admission were massive postpartum haemorrhage （n = 11, 23.9%） and pregnancy associated hypertension （n=8,17.4%）. Among the 46 patients 4 died （8.7%）. ICU stay of patients admitted for nonobstetric causes was （5.3 ± 5.1） days, while that of patients admitted for obstetric cau-ses was （2.7± 1.7） days. Conclusion：Massive postpartum haemorrhage was the most common cause of admission for obstetric patients, followed by pregnancy associated hypertension. Efforts should be concentrated on early ICU interventions according to different spectrum of disease.