CAJ | 학술논문

　　目的：探讨急危重症孕产妇临床抢救及预防的措施。方法：回顾性分析2009年1月至2012年1月收治的急危重症孕产妇120例的临床资料。结果：分娩期并发症、妊娠合并症、妊娠特有疾病是本研究中急危重症患者的主要病症，其中产科出血的发生率最高，其次是妊娠期高血压；产科出血的主要诱因依次为异位妊娠、宫缩乏力和胎盘因素；急危重症孕产妇的产前检查率明显低于正常孕产妇，而存在高危因素的比例明显高于正常孕产妇，P 均＜0．01。结论：急危重症孕产妇的临床抢救需要经验与专业知识的积累，尤其应重视产科出血，提高孕产妇的产前检查率及早期重症筛查率，是降低急危重症发病率及提高抢救成功率的有效措施。
　　목적：탐토급위중증잉산부림상창구급예방적조시。방법：회고성분석2009년1월지2012년1월수치적급위중증잉산부120례적림상자료。결과：분면기병발증、임신합병증、임신특유질병시본연구중급위중증환자적주요병증，기중산과출혈적발생솔최고，기차시임신기고혈압；산과출혈적주요유인의차위이위임신、궁축핍력화태반인소；급위중증잉산부적산전검사솔명현저우정상잉산부，이존재고위인소적비례명현고우정상잉산부，P 균＜0．01。결론：급위중증잉산부적림상창구수요경험여전업지식적적루，우기응중시산과출혈，제고잉산부적산전검사솔급조기중증사사솔，시강저급위중증발병솔급제고창구성공솔적유효조시。
Objective: To explore the clinical strategy of rescue and prevention for pregnant and parturient women with severe and critical conditions. Methods: The clinical data of 120 pregnant and parturient women with severe and critical conditions were analyzed retrospectively from Jan 2009 to Jan 2012.Results:Childbirth complications, pregnancy complications and pregnancy specific diseases were the main symptoms in pregnant and parturient women. The highest incidence was obstetric hemorrhage, followed by gestational hypertension. The major causes of obstetric hemorrhage were ectopic pregnancy,uterine atony and placenta. The intensive rate of maternal prenatal was significantly lower than the normal pregnant women,and the proportion of high-risk factors was significantly higher than the normal pregnant women,both P<0.01. Conclusion: Intensive maternal rescue needed of clinical experience and expertise accumulated,particularly attention to obstetric hemorrhage. Improving the rate of maternal prenatal and early intensive screening rates are the effective measures to reduce the incidence of intensive and to improve the success rate.