产科联合ICU救治232例危重孕产妇的资料分析

发布时间：2018-05-17 18:48

本文选题：孕产妇 + ICU　；参考：《安徽医科大学学报》2017年09期

【摘要】：目的为探讨入住重症监护病房(ICU)孕产妇的临床特点及母儿预后。方法对ICU的孕产妇的临床资料进行回顾性分析。根据入住ICU原因不同分为产科原因组及非产科原因组,比较两组间一般临床资料和母儿预后的差别。结果 232例患者正规产检的仅占34.5%。院内死亡7例。入住ICU的孕产妇疾病前3位的是:(1)妊娠期高血压疾病及相关并发症;(2)妊娠合并心脏病;(3)产后即时出血。232例产科患者中,产科原因组131例,占56.5%;非产科原因组101例,占43.5%。产科原因组的平均孕周明显小于非产科原因组(P0.001)。产科原因组的平均产后24 h出血量、子宫切除率、失血性休克发生率均明显高于非产科原因组(P0.001)。结论为提高对危重孕产妇的诊治能力,产科医师需进一步加强重症监护的知识学习。建立专门的产科ICU,由同时具备产科及ICU知识的医师管理此类患者,必将是未来的一个发展趋势。
[Abstract]:Objective to investigate the clinical characteristics and maternal and fetal prognosis of pregnant and lying-in women admitted to intensive care unit (ICU). Methods the clinical data of pregnant women with ICU were analyzed retrospectively. According to the reasons of admission to ICU, we divided them into obstetrical cause group and non-obstetric cause group, and compared the difference of general clinical data and maternal and fetal prognosis between the two groups. Results only 34. 5% of 232 patients had regular birth examination. 7 cases died in hospital. The first 3 cases of maternal diseases admitted to ICU were: 1) hypertensive disorder complicating pregnancy and related complications (2) pregnancy complicated with heart disease and 3) immediate postpartum hemorrhage. Among 232 cases of obstetrics, 131 cases were obstetrical cause group (56.5%), 101 cases were non-obstetric reason group (43.5%) and 101 cases were non-obstetrical reason group (43.5%). The average gestational age of obstetrical cause group was significantly lower than that of non-obstetric cause group (P 0.001). The mean blood loss, hysterectomy rate and hemorrhagic shock rate in obstetric cause group were significantly higher than those in non-obstetric cause group (P 0.001). Conclusion in order to improve the ability of diagnosis and treatment, obstetricians need to further strengthen the knowledge of intensive care. The establishment of specialized obstetrical ICUs and the management of such patients by physicians with knowledge of both obstetrics and ICU will be a trend in the future.
【作者单位】：安徽医科大学第一附属医院妇产科;安徽医科大学生殖健康与遗传安徽省重点实验室;
【基金】：安徽高校自然科学研究项目(编号:KJ2015A312)
【分类号】：R714.2

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