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目的分析临近死亡孕产妇临床特征,总结救治经验,为降低孕产妇死亡率提供科学依据。方法回顾性分析2013~2014年度广州市花都区助产机构监测的孕产妇临近死亡病例资料及临床特征。结果两年间全区活产数为49 278例,孕产妇临近死亡病例295例,发生率为5.99‰。临近死亡病因中直接和间接产科因素分别占83.39%和16.61%。居于前4位分别为产科出血、异位妊娠、重度子痫前期/子痫、妊娠合并内科疾病。结论孕产妇临近死亡与孕产妇死亡病例有相同的病因,保证危重症孕产妇救治成功率是降低孕产妇死亡率的主要措施。
Objective To analyze the clinical characteristics of pregnant women near death, summarize the experience of treatment and treatment, and provide scientific basis for reducing maternal mortality. Methods Retrospective analysis of the data and clinical features of maternal deaths monitored by the midwifery agency in Huadu District of Guangzhou during 2013 ~ 2014. Results The number of live births in the two districts was 49,278 cases in two years, and the number of maternal deaths was 295, with a rate of 5.99%. Direct and indirect obstetric factors near the cause of death accounted for 83.39% and 16.61% respectively. Living in the top 4 were obstetric hemorrhage, ectopic pregnancy, severe preeclampsia / eclampsia, pregnancy associated with medical diseases. Conclusion Maternal imminent deaths and maternal deaths have the same etiopathogenisis. Guaranteeing the success rate of maternal treatment in critically ill patients is the main measure to reduce the maternal mortality rate.