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[目的]分析产科联合重症监护室抢救危急重症孕产妇的病因及预后相关因素。[方法]回顾性分析2001年1月～2011年1月收治于我科联合ICU抢救的116例危重急症孕产妇的临床资料,比较其病因、并发MODS孕产妇危重病情评分及受累器官/系统情况。[结果]危重急症孕产妇患者病因前3位为产科出血、妊娠高血压疾患、心衰。患者病死率随器官/系统损害数增多而增高。受损器官/系统主要为凝血系统、肾脏、肝脏。[结论]危急重症孕产妇患者病死率随器官/系统损害数增多而增高,及时终止妊娠、去除病因同时,应密切关注患者凝血功能及肝、肾功能指标,及早发现可能并发MODS患者并转入ICU病房,以降低危重症病死率。
[Objective] To analyze the etiology and prognosis-related factors of emergency obstetric women in obstetrics and gynecology combined intensive care unit. [Methods] The clinical data of 116 cases of critically ill pregnant women and women who were admitted to our department from January 2001 to January 2011 were retrospectively analyzed. The etiological factors, critically ill MODS status and organ / system involvement were compared . [Results] The first three causes of critically ill pregnant women were obstetric bleeding, pregnancy-induced hypertension and heart failure. Patient mortality increases with increasing numbers of organ / system lesions. Damaged organs / systems are mainly coagulation system, kidney, liver. [Conclusion] The mortality rate of critically ill pregnant women with severe maternal disease increased with the number of organ / system damage increased, timely termination of pregnancy, removal of the cause of the same time, should pay close attention to patients with coagulation and liver and kidney function indicators, and early detection of MODS patients may be complicated and transferred ICU ward to reduce critical illness mortality.