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目的:总结产科联合重症监护室(ICU)救治危重孕产妇的临床特征及效果。方法:选取汕头大学医学院附属粤北人民医院ICU自2012年11月至2015年11月收治的158例危重孕产妇的资料,将其分为规律产检组与非规律产检组,全面地分析其临床特征、病因和临床救治效果。结果:产科因素相关疾病为入住ICU的主要病因,排在前3位的分别是:产后出血、子痫和子痫前期重度并发症以及妊娠期急性脂肪肝;治愈率达93.7%以上;非规律产检组的经产妇占比、切除子宫例数以及ICU住院日均较规律产检组增高,差异具有统计学意义(P<0.05)。结论:为及时、有效地对孕产妇危重症早诊断、早治疗,需要加强孕产妇围产期保健工作;针对危重症孕产妇,要及时转诊到ICU。
Objective: To summarize the clinical features and effects of obstetric combined intensive care unit (ICU) in the treatment of critically ill pregnant women. METHODS: The data of 158 cases of critically ill pregnant women admitted to ICU of Yuebei People’s Hospital Affiliated to Medical College of Shantou University from November 2012 to November 2015 were selected and divided into regular and non-regular antenatal and postnatal care units Clinical characteristics, etiology and clinical effects. Results: The obstetric-related diseases were the main causes of ICU admission. The top three were postpartum hemorrhage, eclampsia and severe preeclampsia and acute fatty liver during pregnancy. The cure rate was 93.7% In the group, the proportion of maternal, the number of cases of uterus resection and the hospitalization day of ICU were higher than those of the regular test group, with statistical significance (P <0.05). Conclusion: In order to promptly and effectively diagnose and treat maternal critical illness as soon as possible, we need to strengthen the perinatal care of pregnant and lying-in women. In the case of critically ill pregnant women, timely referral to the ICU should be made.