摘要
目的:分析入住重症监护病房(ICU)危重孕产妇的临床特征,旨在为产科及ICU医生对危重孕产妇救治提供参考。方法:回顾性分析2019-2021年武汉大学人民医院入住ICU治疗的96例危重孕产妇资料,对其临床特征进行了描述性分析。结果:本研究共纳入96例患者,年龄为(31.08±5.49)岁,怀孕时长为(223.62±52.84)d,ICU住院时长为(9.41±6.66)d。患者多伴有肝脏、肾脏、心脏等多器官的生理指标异常,其中凝血功能异常最多见(89.60%),其次为肝功能及心功能异常;重要器官以心脏受累最多(74.00%),其次为血液系统及肾脏受累。危重孕产妇分娩主要采用剖宫产,年龄和是否初产对分娩方式选择无影响(均P>0.05)。治疗以抗感染为主(21.45%),其次为维持水电解质平衡和营养支持治疗。结论:高龄产妇且胎儿多未足月,多次妊娠为大多数危重孕产妇共性。密切关注患者凝血功能、肝肾功能和心功能变化,尽早解除诱因,辅助合理的抗感染措施有助于降低危重孕产妇死亡率。
Objective:To analyze the clinical characteristics of critically ill pregnants admitted to intensive care unit(ICU)were studied retrospectively,and to provide a reference for obstetricians and ICU physicians in the treatment of maternal near miss.Methods:The clinical characteristics of 96 critically sick pregnant women admitted to the ICU of Renmin Hospital of Wuhan University between 2019 and2021 were analyzed descriptively.Results:Of the 96 patients enrolled in this study,the average maternal age was(31.08±5.49)years,pregnant time was(223.62±52.84)days,and ICU hospital stay was(9.41±6.66)days respectively.Most of the patients were accompanied by abnormal indicators of multiple organs such as liver,kidney,and heart.The abnormality of blood coagulation was the most common(89.60%),followed by abnormal liver function and cardiac function.The most common vital organ involved was heart(74.00%),followed by blood system and kidney.Cesarean section was the main method for delivery,and age and first delivery had no effect on the choice of delivery mode(all P>0.05).The main treatment included anti-infection(21.45%),followed by maintenance of water and electrolyte balance,and nutritional support treatment.Conclusion:Most critically ill pregnant women were characterized by advanced marternal age,preterm birth,and multiple pregnancies.The procedures to reduce the mortality of critically ill pregnants includes monitoring and maintenace the levels of blood coagulation and cardiac function,accompanied by anti-infection treatment.
作者
姚智远
柳舟
伍威
方婷
李光
詹丽英
夏文芳
YAO Zhiyuan;LIU Zhou;WU Wei;FANG Ting;LI Guang;ZHAN Liying;XIA Wenfang(Dept.of Critic Care Medicine,Renmin Hospital of Wuhan University,Wuhan 430060,Hubei,China)
出处
《武汉大学学报（医学版）》
CAS
2022年第4期572-577,共6页
Medical Journal of Wuhan University
关键词
危重孕产妇
重症监护病房
临床特征
Critically Ill Pregnants
Intensive Care Unit
Clinical Characteristics
