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目的总结危重孕产妇抢救的经验与教训,为提高危重孕产妇抢救成功率、进一步降低孕产妇死亡率提供依据。方法对北京市顺义区医院和顺义区中医院2007年7月1日-2012年5月1日抢救的危重孕产妇病例进行回顾性分析。结果危重孕产妇中64.1%为外地户籍,外地户籍孕产妇高龄、多产、计划外妊娠比例明显高于北京市户籍,且产前检查次数明显少于北京市户籍(P<0.05);危重症抢救的病因主要是产科出血(占46.2%)和子痫(占30.8%);抢救孕周分布主要是孕晚期;抢救危重孕产妇以住院生产(97.4%)及手术终止妊娠为主(89.7%),1例死亡孕产妇和5例围产儿死亡孕产妇均为外地户籍。结论加强流动人口孕产妇的保健管理,重视产科出血和妊娠期高血压疾病的防治,加强二级综合医院产科建设,提高危重孕产妇救治水平,发挥综合性医院的抢救优势,是提高危重孕产妇抢救成功的重要方面。
Objective To summarize the experience and lessons of critical maternal rescue in order to provide evidences for improving the success rate of critical maternal rescue and further reducing maternal mortality. Methods Retrospective analysis was performed on the critical maternal cases rescued in Shunyi District Hospital of Shunyi District and Shunyi District Chinese Medicine Hospital from July 1, 2007 to May 1, 2012. Results 64.1% of the critically ill pregnant women were registered permanent residents. The proportion of pregnant women with multiple births and permanent pregnancies was significantly higher than that of Beijing residents (P <0.05). The number of prenatal examinations was significantly less than that of Beijing residents (P <0.05) The main causes of rescue were obstetric hemorrhage (46.2%) and eclampsia (30.8%). The distribution of rescue gestational age was mainly in the third trimester. Rescue of critically ill pregnant women was mainly hospitalized (97.4%) and surgical termination (89.7% , One death maternal and five cases of perinatal death maternal foreign registry. Conclusion To strengthen the management of maternal health among floating population, pay attention to the prevention and treatment of obstetric bleeding and hypertensive disorders in pregnancy, strengthen obstetric construction in secondary general hospitals, improve the level of maternal treatment and treatment, and give full play to the rescue advantages of general hospitals, Important aspects of successful rescue.