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目的:研究并分析产科加护病房联合ICU抢救危急重症孕产妇的临床疗效。方法:本院选择妇产科抢救的危急重症孕产妇共128例,并对其临床资料进行回顾性分析。结果:⑴产科加护病房孕产妇转入ICU的主要原因有产科出血、羊水栓塞、妊娠高血压、心衰以及合并颅脑损伤等;⑵所有孕产妇中有89例进行剖宫产,占比69.53%,有39例进行自然分娩,占比30.47%;⑶共131例围产儿中有15例死亡,围产儿死亡率是11.45%。结论:对于危急重症孕产妇选择产科加护病房联合ICU抢救模式,可以有效保证孕产妇以及围产儿的生命安全,降低孕产妇与围产儿死亡率。
Objective: To study and analyze the clinical efficacy of obstetric intensive care unit (ICU) combined with ICU in the treatment of critically ill pregnant women. Methods: A total of 128 cases of critically ill pregnant women who were selected for obstetrics and gynecology in our hospital were retrospectively analyzed. Results: (1) Maternal obstetric intensive care unit transferred to the ICU main causes of obstetric bleeding, amniotic fluid embolism, pregnancy-induced hypertension, heart failure and combined brain injury, etc .; (2) 89 cases of all pregnant women were cesarean section, accounting for 69.53%, 39 cases of natural childbirth, accounting for 30.47%; ⑶ a total of 131 perinatal children in 15 cases of death, perinatal mortality was 11.45%. Conclusion: The emergency ICU intensive care unit and ICU rescue mode for critically ill pregnant women can effectively guarantee the lives and safety of pregnant women and perinatals, and reduce the maternal and perinatal mortality rates.