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目的：通过分析急危重症孕产妇基层救治，找到成功的经验及失败的教训，有利于进一步提高抢救成功 率。方法；收集１９９７～１９９９年３年间广州市天河区３家区属二级以下医院的急危重症孕产妇抢救病例。结果：３年中，３ 家医院共接诊孕产妇４ ７１５例，其中急危重症孕产妇２４９例，急危重症孕产妇发生率为５．３％。 ２３１例急危重症孕产妇在 各院自行组织抢救，抢救成功率为９９．６％，１８例由孕产妇抢救小组组织抢救，抢救成功率１００．０％。急危重症孕产妇中的 ７７．０％从未接受过产检。结论：基层产科人员技术水平的提高是抢救成功的基础，孕产妇抢救小组及各部门的协同作战， 是抢救成功的关键，及时、准确判断病情、指挥得当为抢救成功赢得时机，综合国力及群众自我保健意识的提高大大有利 于减少孕产妇急危重症的发生，提高抢救成功率，减少孕产妇死亡。
OBJECTIVE: To find out the successful experiences and the lessons of failure by analyzing the treatment of acute and severe maternal primary care, which is beneficial to further improve the success rate of rescue. Methods: Three cases of acute critical care maternal rescue in 3 hospitals in the Tianhe district of Guangzhou City during the three years from 1997 to 1999 were collected. Results: In 3 years, 4 715 pregnant women were admitted to the three hospitals, of which 249 were acute critically ill pregnant women and 5.3% were acute critically ill pregnant women. Seventy - one cases of critically ill pregnant women and mothers with severe and serious disease were hospitalized and rescued by themselves. The success rate of rescue was 99.6% and 18 cases were rescued by the maternal rescue team. The success rate of rescue was 100.0%. 77.0% of critically ill pregnant women have never received any medical examination. Conclusion: The improvement of technical level of primary obstetricians is the basis of successful rescue. The cooperation between maternal rescue teams and various departments is the key to the success of the rescue. Timely and accurate judgment of illness and proper command are the opportunities to win the successful rescue. The improvement of self-care awareness will greatly help to reduce the incidence of acute and critical maternal diseases, improve the success rate of rescue and reduce maternal mortality.