【摘要】 早期识别和救治危重孕产妇是降低孕产妇死亡率的关键。该文综述了危重孕产妇高危因素、早期预警评估工具的应用现状及护理干预研究进展。目前，国外相继制定了多种孕产妇早期预警工具，在早期识别与干预、降低危重孕产妇发病率上发挥了重要作用，但国内尚缺乏本土化危重孕产妇预警评估工具，需要在循证证据和临床数据分析的基础上制定；优化孕期健康管理质量，建立群组式孕期管理模式，加强高危孕产妇管理，建立产科快速反应团队等干预手段有助于降低可避免的孕产妇死亡率。更多还原

【Abstract】 Early identification and treatment of critically ill pregnant and postpartum women is the key to reduce maternal mortality. This paper reviews the high-risk factors of critically ill pregnant and postpartum women,the application status of early warning evaluation tools and the research progress of nursing intervention. In recent years,many early warning tools for pregnant women have been developed abroad,which play an important role in identifying and intervening early and reducing the incidence rate of critical maternal diseases. However,there is no domestic early warning and assessment tool for critically ill pregnant and postpartum women. Optimizing the quality of pregnancy health management,establishing a group pregnancy management model,strengthening the management of high-risk pregnant women and establishing an obstetric rapid response team will help to reduce the avoidable maternal mortality.更多还原