论文部分内容阅读
目的了解妊娠并发症的发生和治疗,了解危重孕产妇的分布和预防。方法回顾性分析192例危重孕产妇的临床资料。结果192例患者中,初产妇58例(30.21%),经产妇134例(69.79%),农村孕产妇154例(80.21%)。产科出血157例,占81.77%,其中108例失血性休克,106例经输血抢救,子宫次全切除10例,子宫全切2例,转上级医院20例,死亡1例,孕产妇抢救成功率89.06%,乡镇产科建设达标的县,住院分娩率高的县,产科急救的发生率明显减少。结论发生产科抢救的主要原因是产科出血、妊娠期高血压疾病、妊娠合并心脏病,创建县级产科急救中心和乡镇卫生院产科建设达标,加强农村孕产妇的围产保健,提高住院分娩率能减少产科急救,提高产科质量。
Objective To understand the occurrence and treatment of pregnancy complications and understand the distribution and prevention of severe maternal diseases. Methods A retrospective analysis of 192 cases of critical maternal clinical data. Results Among the 192 patients, 58 were primipara (30.21%), 134 (69.79%) were mothers and 154 (80.21%) were rural mothers. 157 cases of obstetric hemorrhage, accounting for 81.77%, of which 108 cases of hemorrhagic shock, 106 cases of transfusion, subtotal hysterectomy in 10 cases, hysterectomy in 2 cases, transfer to superior hospital in 20 cases, 1 case of death, maternal rescue success rate 89.06%, township obstetrics construction compliance county, hospital delivery rate of high counties, the incidence of obstetric first aid was significantly reduced. Conclusions Obstetric rescue is the main cause of obstetric bleeding, hypertensive disorders during pregnancy, pregnancy complicated with heart disease, to create obstetrics and gynecology emergency center and county hospitals to achieve compliance, to strengthen perinatal care of pregnant women in rural areas, improve hospital delivery rate Reduce obstetric first aid and improve obstetric quality.