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1983~1992年中大连市妇产医院及大连医学院附属第二医院,两院共分娩126763例,孕产妇死亡21例,死亡率16.6/10万。直接产科因素死亡13例,间接产科因素死亡8例。其中大连市妇产医院分娩123042例,孕产妇死亡20例,大连医学院附属第二医院分娩3721例,孕产妇死亡1例(为间接产科因素)。羊水栓塞为死亡的主要原因(占28.6%),其次是肺动脉栓塞及妊高症,子宫弛缓性出血、产褥感染无死亡病例。针对羊水栓塞及肺动脉栓塞发病率上升问题,寻找原因,采取预防措施,从而降低孕产妇死亡率。
Between 1983 and 1992, 126,763 childbirths were delivered in the Second Affiliated Hospital of Dalian Maternal and Child Health Hospital and Dalian Medical College, with 21 maternal deaths and a mortality rate of 16.6 / 100,000. Direct obstetric death in 13 cases, indirect obstetric death in 8 cases. Among them, there were 123042 cases of maternal death, 20 maternal deaths, 3721 cases of delivery in the second affiliated hospital of Dalian Medical College, and 1 maternal death (indirect obstetric factor) in Dalian Maternity Hospital. Amniotic fluid embolism is the main cause of death (28.6%), followed by pulmonary embolism and pregnancy-induced hypertension, flaccid bleeding, no deaths in puerperal infection. In view of the rising incidence of amniotic fluid embolism and pulmonary embolism, find out the reasons, take preventive measures, thereby reducing maternal mortality.