重度子痫前期在产科ICU监护救治的临床分析

目的:探讨重度子痫前期严重并发症更好的监测手段,以期总结对重度子痫前期严重并发症及早干预措施和有效的临床监控方法。方法:广州市白云区妇幼保健院2004年1月～2007年1月收治的213例重度子痫前期孕产妇,将其中87例收入ICU监护治疗的孕产妇资料进行分析总结。比较入住ICU的重度子痫前期孕产妇的病因与转归。结果:病情稳定转出ICU占81.6%、转诊占10.3%、自动出院占8.1%,死亡率0。结论:通过比较体现出危重孕产妇转入专科ICU监护治疗是一个确切的生命挽救程序,专科ICU的救治,使我们能成功挽救重度子痫前期并发症、子痫孕产妇的生命,降低死亡率,保障孕产妇和胎儿的安全。

Clinical analysis on the treatment of severe pre-eclampsia in obstetric ICU monitoring

Objective:Exploring better surveillance for onset severe preeclampsia complication,to summarize the early intervention measures and effective clinic supervision methods.Methods:The data of 87 ICU cases out of 213 cases of onset severe preeclampsia received by Guangzhou Baiyun District Women and Children's Hospital from January 2004 to January 2007 were analyzed and summarized,and compared the causes and turnover of patients.Results:The result showed that the ratio of being transferred out of ICU with a stable condition was 81.6% while referring was 10.3%,discharged was 8.1% and mortality rate 0 respectively.Conclusion:The timely,continuous and systemic supervision and therapy for the pregnant in critical state shall be an accurate life-saving procedure.We can save lives,reduce maternal mortality and protect the safety of fetus through specific therapy in obstetrics ICU for the patients of onset severe preeclampsia complication and maternal preeclampsia.