危重孕产妇抢救原因及抢救结局分析

目的:探讨危重孕产妇的母婴结局、孕产期保健和构成情况,以降低危重孕产妇的发生率,提高危重孕产妇救治成功率。方法:回顾性分析2003～2007年72例抢救危重孕产妇的资料。结果:72例患者中抢救成功70例(97.22%),围产儿死亡8例(11.11%),其中经产妇55例(76.39%),流动人口66例(91.67%),未做产前检查者59例(81.94%),有高危因素者41例(56.94%),产科出血36例(50.00%),子痫、重度子痫前期并发严重并发症31例(43.06%)。结论:畅通的急救"绿色通道"、各级领导的强有力的支持是确保危重孕产妇抢救成功的关键,同时加强流动人口孕产妇的保健管理是减少孕产妇重危疾病发生的重要一环。

Analysis on rescue causes and outcomes of severe pregnant and lying-in women

Objective:To explore the outcomes of mothers and infants,prenatal health care and composition,reduce incidence of severe pregnant and lying-in women,increase success rate of rescue of severe pregnant and lying-in women.Methods:Clinical data of rescue of 72 severe pregnant and lying-in women from 2003 to 2007 were analysed retrospectively.Results:The success rate of rescue was 97.22% (70 cases),8 perinatal infants (11.11%) were dead;the proportions of pluripara and floating population were 76.39% (55 cases) and 91.67% (66 cases),respectively;81.94% (59 cases) of the pregnant and lying-in women didn't receive prenatal examination and 56.94% (41 cases) of the pregnant and lying-in women had high risk factors;50.00% (36 cases) and 43.06% (31 cases) of the pregnant and lying-in women had obstetric hemorrhage and severe complications complicated with eclampsia and severe preeclampsia.Conclusion:Unobstructed "green pathway" and strong support of leaders at all levels play important roles in the monitoring and rescuing of obstetric severe diseases,strengthening the prenatal and postnatal health care management of floating population is the key link of decreasing the incidence of obstetric severe diseases.