【摘要】 目的分析石景山区危重症孕产妇抢救病例,总结经验和教训,为降低危重症孕产妇发生率降低孕产妇死亡提供数据支持。方法回顾分析2008年至2015年北京市石景山区的危重症孕产妇病例资料,对其流行病学特点,发生原因、抢救经过、母儿结局进行分析。结果石景山区危重症抢救病例疾病发生率前3位的分别为产后出血、妊娠期特有疾病、妊娠期合并内外科疾病。非京籍危重产妇发生率高于京籍,分别为1.65‰和3.11‰,其中未规律产检的非京籍孕产妇明显高于京籍。在89例危重症孕产妇病例中,18例经历了ICU治疗,11例发生了MODS,其中非京籍10例,京籍1例,P<0.05,有统计学差异。孕产妇死亡率5.03/10万。随着转诊绿色通道完善,转诊率明显增加。结论危重症孕产妇抢救过程中多种原因可以相互影响互为因果,早期多种措施进行救治,可以减少危重孕产妇的发生。加强孕期教育,加强孕期保健和管理,完善危重孕产妇转诊的绿色通道,是降低孕产妇死亡的重要因素。更多还原

【Abstract】 Objective to analyze and summarize the experience and lessons of the pregnant women in the critically ill pregnant women in Shijingshan District in order to provide data support for reducing the maternal mortality rate. Methods retrospective analysis of2008-2015 in Beijing city Shijingshan District District review critically ill obstetric clinical data on the epidemiological characteristics,causes,treatment and perinatal outcomes were analyzed after. Results Shijingshan District emergency treatment of critically ill cases of disease incidence before 3 were postpartum hemorrhage,special disease in pregnancy,pregnancy complicated with surgical diseases. The critical maternal incidence was higher than that of non Beijing nationals,were 1. 65 per thousand and 3. 11 per thousand,which did not rule check pregnant women was significantly higher than that of non Beijing Beijing. In 89 cases of severe maternal cases,18 cases underwent ICU treatment,11 cases were MODS,Of which 10 cases of non nationals,1 cases of beijing,P < 0. 05,there were significant differences. the maternal mortality rate of 5. 03/10 million. With the referral Easy Access perfect,the referral rate increased significantly. Conclusion the critically ill obstetric rescue for many reasons in the process of reciprocal causation can affect each other,early measures for treatment,can reduce the occurrence of severe maternal. To strengthen the pregnancy education,strengthen the pregnancy health care and management,improve the green channel of the critical pregnant women’s referral,is an important factor to reduce the maternal mortality.更多还原