摘要
随着医疗水平和经济的发展,孕产妇死亡率已不能再作为反映孕产妇结局的指标。目前危重孕产妇已成为许多国家评价产科医疗质量的指标之一。妊娠期并发症和合并症严重危害母婴安全,在我国,产科出血和妊娠期高血压疾病是危重孕产妇的主要产科并发症,而妊娠合并心脏病是主要的产科合并症。早期识别危重孕产妇,积极治疗相关疾病,制订符合当地医疗条件的救治措施,可改善危重孕产妇的妊娠结局,而多学科联合救治危重孕产妇是将来发展的趋势。
With the development of medical care and economy,the mortality of maternal is no longer an indicator of maternal outcomes.At present,maternal near miss has become one of the indicators to evaluate the quality of obstetric care in many countries.Pregnancy complications and coexisting conditions are seriously endangering the safety of the mother and child,and postpartum hemorrhage,hypertensive disorders in pregnancy are the main obstetric complications of maternal near miss,while pregnancy with heart disease is the main coexisting condition.Early identification of maternal near miss and active treatment of related diseases,formulation of countermeasures in accordance with local medical conditions can improve the pregnancy outcomes,and interdisciplinary treatment is the trends of the future.
作者
崔晓荣
张延丽
CUI Xiaorong;ZHANG Yanli(The First Clinical Medical College of Shanxi Medical University,Taiyuan 030001,China;Department of Obstetrics,the First Hospital of Shanxi Medical University,Taiyuan 030001,China)
出处
《医学综述》
2021年第2期365-368,374,共5页
Medical Recapitulate
关键词
危重孕产妇
死亡率
妊娠期合并症
干预措施
治疗模式
Maternal near miss
Mortality
Pregnancy complications
Interventive measures
Treatment model
