CAJ | 학술논문

目的：分析鞍山市2006~2012年共7年间发生的32例孕产妇死亡的原因，以为降低全市孕产妇死亡率制订干预措施，为相关部门制订政策方案提供可靠依据。方法采用回顾性调查分析法，对32例孕产妇死亡情况逐例整理分析。结果2006~2012年活产数为186061例，孕产妇死亡32例，死亡率为17.19/10万，孕产妇死亡原因主要为心脏病、产科出血、肺炎及肺栓塞、妊娠高血压综合征、肝病、羊水栓塞和血液系统疾病。直接原因12例，间接原因20例。结论随着本市孕期保健水平和产科质量的发展与提高，由妊娠合并内科及其他疾病的比例逐渐升高，这就需要开展多学科的协作，加强三级网络的业务技术培训及畅通高危妊娠就医的绿色通道，提高急重症的转诊及抢救能力，是降低孕产妇死亡率的重要保障。
목적：분석안산시2006~2012년공7년간발생적32례잉산부사망적원인，이위강저전시잉산부사망솔제정간예조시，위상관부문제정정책방안제공가고의거。방법채용회고성조사분석법，대32례잉산부사망정황축례정리분석。결과2006~2012년활산수위186061례，잉산부사망32례，사망솔위17.19/10만，잉산부사망원인주요위심장병、산과출혈、폐염급폐전새、임신고혈압종합정、간병、양수전새화혈액계통질병。직접원인12례，간접원인20례。결론수착본시잉기보건수평화산과질량적발전여제고，유임신합병내과급기타질병적비례축점승고，저취수요개전다학과적협작，가강삼급망락적업무기술배훈급창통고위임신취의적록색통도，제고급중증적전진급창구능력，시강저잉산부사망솔적중요보장。
Objective To analyze the causes of 32 cases of maternal death in Anshan city in 7 years from 2006 to 2012,and to formulate intervention measures and provide reliable evidence for related department to initiate policies so as to reduce maternal mortality rate in Anshan. Methods 32 cases of maternal death were analyzed retrospectively and individually. Results 186 061 infants were born alive from 2006 to 2012,and 32 pregnant and lying-in women died, with the mortality rate of 17.19/100 000.The main causes of maternal death included heart diseases,obstetric bleeding, pneumonia and pulmonary embolism,pregnancy-induced hypertension,hepatopathy,amniotic fluid embolism and hemato-logical diseases.12 cases were due to direct causes,and 20 cases were due to indirect causes. Conclusion With the de-velopment and improvement of the level of pregnancy care and quality of obstetrics,the proportion of pregnancy compli-cated with medical diseases and other diseases is gradually increasing.In order to reduce maternal mortality rate,multi-disciplinary cooperation should be carried out,technical training of three-stage network should be strengthened,green channels should be established for high risk pregnancy,and capability of treatment transfer and first aid for critical pa-tients should be enhanced.