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目的:通过分析危重孕产妇救治情况,找到成功的经验及失败的教训,有利于提高抢救成功率。方法:收集嘉定区2007～2008年接产医院的危重孕产妇抢救病例。结果:①2007年危重孕产妇抢救成功率为84.0%,2008年抢救成功率100.0%。②外地孕产妇占87.8%。③仅46.3%建立孕产期保健手册、63.4%接受产前检查。④孕期高危因素第一位是子痫前期或子痫,占41.6%;产时或产后危重因素第一位是产后出血,占61.0%。结论:加强孕产期保健特别是流动孕产妇管理、打击非法接产、提高产科人员技术水平、完善危重孕产妇救治网络以及提高群众自我保健意识,均有利于减少危重孕产妇的发生,提高抢救成功率,降低孕产妇死亡率。
OBJECTIVE: To find out the successful experiences and the lessons of failure by analyzing the treatment of critically ill pregnant women and help to improve the success rate of the rescue. Methods: To collect the critical maternal rescue cases in Jiading Hospital from 2007 to 2008. Results: ① The success rate of critical maternal rescue in 2007 was 84.0%, and the success rate of rescue in 2008 was 100.0%. ② foreign maternity accounted for 87.8%. ③ Only 46.3% of the maternity health care manuals were established and 63.4% of them received prenatal care. The first risk factors during pregnancy is preeclampsia or eclampsia, accounting for 41.6%; the first postpartum hemorrhage or postpartum hemorrhage, accounting for 61.0%. CONCLUSIONS: Strengthening maternal health care, especially migrant maternal management, cracking down on illegal maternity, improving the technical level of obstetricians, perfecting the network of critically ill maternal treatment and raising the awareness of the masses on their own health care are all conducive to reducing the incidence of critically ill pregnant women and improving the level of rescue Success rate, reduce maternal mortality.