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目的:分析及探讨盛京医院孕产妇死亡的原因及影响因素,提高盛京医院产科质量,进一步降低孕产妇死亡率。方法:收集2004年1月~2008年12月盛京医院46例死亡孕产妇的临床资料,分析孕产妇死亡原因,了解孕产妇死亡的影响因素。结果:在盛京医院,妊娠合并内外科疾病是造成孕产妇死亡最主要的因素,导致孕产妇死亡的最终原因的前3位顺位是MODS、D IC、艾森曼格综合征,造成孕产妇死亡的前3位疾病顺位是先天性心脏病、妊娠期高血压疾病、产科出血。结论:加强社区和乡村孕产妇保健管理,加强各阶层产科医务人员业务素质,保证绿色通道的通畅,加强盛京医院产科与其他学科的共同协作,可明显降低孕产妇死亡率。
Objective: To analyze and discuss the reasons and influencing factors of maternal mortality in Shengjing Hospital, improve the quality of obstetrics in Shengjing Hospital and further reduce the maternal mortality rate. Methods: The clinical data of 46 maternal deaths from Shengjing Hospital from January 2004 to December 2008 were collected. The causes of maternal death were analyzed, and the influencing factors of maternal death were analyzed. Results: In Shengjing Hospital, the most common cause of maternal mortality was maternal and maternal diseases in pregnancy. The top 3 causes of maternal mortality were MODS, ICD and Eisenmenger syndrome The top 3 maternal deaths are congenital heart disease, hypertensive disorders during pregnancy, obstetric hemorrhage. CONCLUSIONS: Strengthening maternal health care management in community and rural areas, strengthening operational quality of obstetric and medical personnel in all walks of life, ensuring unobstructed green passage, and strengthening collaboration between maternity and other disciplines in Shengjing Hospital can significantly reduce the maternal mortality rate.