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目的:比较分析实施急危重症孕产妇抢救组的临床效果。方法:回顾性病历资料对照研究,对比产科急救小组成立前5年与实施后5年间孕产妇急危重症的抢救临床结局。结果:2000～2005年抢救急危重症孕产妇27例,2006～2011年抢救36例,其中最多见的疾病是妊娠高血压疾病、羊水栓塞、产后出血等。实施抢救小组后,产妇的痊愈率提高,实施前5年中死亡1例,实施后5年中未发生孕产妇死亡。结论:产科急危重症抢救小组提高了孕产妇的抢救成功率,规范化的培训和清晰明确的抢救流程是保证抢救成功的重要因素。
Objective: To comparatively analyze the clinical effect of emergency rescue maternal rescue group. Methods: A retrospective case history data comparison study was conducted to compare the clinical outcomes of emergency treatment for maternal emergencies in the first 5 years of the obstetric emergency team and in the 5 years after the implementation. Results: From 2000 to 2005, 27 cases of acute and critically ill pregnant women were rescued and 36 cases were rescued from 2006 to 2011. The most common diseases were pregnancy-induced hypertension, amniotic fluid embolism and postpartum hemorrhage. After the implementation of the rescue team, the recovery rate of maternal mothers increased, 1 case died in the first 5 years of implementation and no maternal death occurred in 5 years after implementation. Conclusion: The obstetric emergency critical rescue team improved the success rate of maternal rescue. Standardized training and a clear and definite rescue procedure are the important factors to ensure the success of the rescue.