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目的分析危重孕产妇特征、病因构成及转诊救治情况,为危重症孕产妇早期干预及成功抢救提供科学依据。方法回顾性分析2011年1月1日-2013年12月31日期间惠州仲恺高新区内危重症孕产妇现患率、病例特症、病因构成及救治情况。结果发共监测孕产妇21 078例,检索出高危产妇5 886例,高危现患率27.9%,危重孕产妇619例,危重症孕产妇现患率2.94%。危重孕产妇病因构成中直接产科原因523例,占84.5%,直接产科原因前三位为产科出血321例,占直接产科原因的61.4%;妊娠高血压129例,占24.7%;异位妊娠66例,占12.6%。间接产科原因病例96例,占15.5%。间接产科原因前三位是妊娠合并心脏病30例,占间接产科原因的31.3%;妊娠合并糖尿病21例,占21.9%;妊娠合并重症肝炎17例,占17.7%。病例抢救机构以辖区产科急救中心为主,抢救417例,占67.4%;转诊至市三级医院抢救111例,占17.9%,辖区内其他医院抢救91例,占14.7%;危重症孕产妇中流动人口416例,占67.2%,常住人口203例,占32.8%为;计划外妊娠441例,占71.2%,计划内妊娠178例,占28.8%。共抢救619例,抢救成功率100%。结论通过监测掌握危重症孕产妇特征,尤其要加强对流动人口、计划外妊娠孕产妇监测,及时对高危产妇实施干预救治,对减少危重症孕产妇发生和防止孕产妇死亡具有重要意义。
Objective To analyze the characteristics of critically ill pregnant women, their causes and the referral and treatment, and provide a scientific basis for early intervention and successful rescue of critically ill pregnant women. Methods Retrospective analysis of the prevalence rate, case characteristics, etiology and treatment of critically ill pregnant women in Zhongkai Hi-tech Zone of Huizhou from January 1, 2011 to December 31, 2013 were retrospectively analyzed. Results A total of 21 078 pregnant women were monitored. Among them, 5 886 high-risk pregnant women were retrieved. The prevalence of high-risk pregnant women was 27.9%, that of critically ill pregnant women was 619, and that of critically ill pregnant women was 2.94%. The cause of critically ill maternal causes directly maternity causes 523 cases, accounting for 84.5%, directly obstetric reasons for the first three cases of obstetric hemorrhage 321 cases, accounting for 61.4% of direct obstetric reasons; 129 cases of pregnancy-induced hypertension, accounting for 24.7%; ectopic pregnancy 66 For example, 12.6%. Indirect obstetric cases of 96 cases, accounting for 15.5%. Indirect obstetric reasons for the top three are pregnant with heart disease in 30 cases, accounting for indirect maternity causes 31.3%; 21 cases of pregnancy with diabetes mellitus, accounting for 21.9%; pregnancy with severe hepatitis in 17 cases, accounting for 17.7%. The cases were rescued by the obstetrics and gynecology emergency center, rescuing 417 cases, accounting for 67.4%; 111 cases were referred to the third-level hospital, accounting for 17.9%; 91 cases were rescued by other hospitals in the area, accounting for 14.7%; critically ill pregnant women There were 416 floating infants (67.2%), resident population 203 (32.8%), unplanned pregnancy 441 (71.2%) and planned pregnancy (178.8%). A total of 619 cases of rescue, rescue success rate of 100%. Conclusions Monitoring the characteristics of critically ill pregnant women, in particular, to strengthen the floating population, unplanned pregnancy maternal monitoring, prompt intervention in high-risk maternal treatment, to reduce the risk of maternal and prevent maternal mortality is of great significance.