2008~2013年攀枝花市31例孕产妇死亡原因分析 |
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引用本文: | 王艳君,;兰玛,;廖建勤. 2008~2013年攀枝花市31例孕产妇死亡原因分析[J]. 中国计划生育和妇产科, 2014, 0(9): 61-63 |
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作者姓名: | 王艳君, 兰玛, 廖建勤 |
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作者单位: | [1]攀枝花中西医结合医院妇产科,四川攀枝花617000; [2]成都西区安琪儿妇产医院妇产科,四川成都610000 |
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摘 要: | 目的总结孕产妇死亡救治中存在的问题。方法回顾分析2008~2013年攀枝花市31例孕产妇死亡原因。结果 2008~2013年孕产妇死亡率呈逐年下降趋势,2013年孕产妇死亡率明显低于2008年孕产妇死亡率(P0.05)。31例死亡孕产妇中直接产科原因死亡26例(83.9%),其中产科出血18例(占直接产科原因的69.2%),间接产科原因死亡5例(16.1%)。产前检查次数5次的孕产妇死亡率明显高于产前检查≥5次的孕妇(P0.05)。在省市级医院死亡的孕产妇数多于县级医院、乡镇卫生院及其他地点(P0.05)。结论应加强产前检查及高危妊娠管理,同时进一步加强全市孕产妇急救网络和急救绿色通道建设,建立危重孕产妇转诊救治体系,充分发挥综合性医院的救治优势。
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关 键 词: | 孕产妇死亡 孕期保健 产前检查 转诊 |
Analysis on causes of maternal death of 31 cases in Panzhihua city during 2008 ~ 2013 |
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Affiliation: | WANG Yan-junI,LAN Ma,LIAO Jian- qin(1. Department of Gynecology and Obstetrics, Hospitals of Traditional Chinese and Western Medicine of Panzhihua, Panzhihua Sichuan 617000, P. R. China 2. Department of Gynecology and Obstetrics, Chengdu West District Angel Women' s and Children' s Hospital, Chengdu Sichuan 610000, P. R. China) |
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Abstract: | Objective To analyze causes of maternal death and summarize the problems in treatment process. Methods The causes of maternal death of 31 cases in Panzhihua city during 2008 ~ 2013 were retrospectively analyzed. Results Maternal mortality was downward trending from 2008 to 2013. Maternal mortality of 2013 was lower than that of 2008( P 〈 0. 05). 26 cases were direct obstetric causes accounting for 83. 9% and 5 cases were indirect obstetric cause accounting for 16. 1%. 18 cases were obstetric hemorrhage accounting for 69. 2% of direct obstetric causes. The maternal mortality of women with less than 5 times of antenatal examination was higher than women with over 5 times of antenatal examination( P 〈 0. 05). The amount of maternal death in the provincial and municipal hospitals was more than that in the county and township hospitals( P 〈 0. 05). Conclusion It’s important to strengthen antenatal examination and management of high- risk pregnancy,to reinforce constructions of maternal emergency network and emergency green channel,to establish referral treatment system in order to give full play to the advantages of comprehensive hospital. |
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Keywords: | maternal death antenatal care antenatal examination referral treatment |
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