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目的分析入住ICU危重孕产妇的临床特点和救治结果。方法选择2007年1月～2010年12月因病情危重入住ICU的孕产妇33例,进行回顾性分析。结果 33例中,孕产妇平均年龄(29±6)岁,孕龄(32.8±6.2)周,19例(57.6%)未接受正规产前检查。入住ICU与孕产相关的原因,最常见的是重度子痫前期或子痫12例(36.4%),其次产后出血9例(27.3%)。最常用的治疗方法为机械通气25例(75.8%),应用血管活性药物18例(54.4%),输血制品治疗22例(66.7%)。平均入住ICU时间(5.8±5.8)d,平均住院时间(16.3±9.6)d。孕产妇死亡2例(6.1%),围生儿死亡9例(25.7%)。结论危重孕产妇入住ICU的最常见原因为重度子痫前期、子痫及产后出血,转入ICU监护治疗后整体病死率较低。
Objective To analyze the clinical features and treatment outcome of critically ill pregnant women admitted to ICU. Methods From January 2007 to December 2010, 33 pregnant women were admitted to the ICU due to their critical condition, and retrospectively analyzed. Results Among the 33 cases, the average age of pregnant women was (29 ± 6) years old, gestational age (32.8 ± 6.2) weeks and 19 cases (57.6%) did not receive regular prenatal examination. The most common causes of ICU stay associated with pregnancy were 12 (36.4%) severe preeclampsia or eclampsia followed by 9 (27.3%) postpartum hemorrhage. The most commonly used treatment for mechanical ventilation in 25 cases (75.8%), the application of vasoactive drugs in 18 cases (54.4%), transfusion products in 22 cases (66.7%). The average stay ICU time (5.8 ± 5.8) d, the average length of stay (16.3 ± 9.6) d. Maternal death in 2 cases (6.1%), perinatal death in 9 cases (25.7%). Conclusions The most common causes of critically ill pregnant women living in the ICU are severe preeclampsia, eclampsia and postpartum hemorrhage. The overall mortality after switch to intensive care unit for ICU is lower.