Al-Jabari A S, Al-Meshari A A, Takrouri M S, Seraj M A
Department of Obstetrics and Gynecology, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Saudi Med J. 2001 Nov;22(11):980-3.
Gynecological admissions to the surgical intensive care unit vary from the obstetrical cases. Pregnant women are of prime age and can tolerate the pregnancy and delivery well. There are certain rare conditions or complications, which make the pregnant women's life pass through a critical time. These are dealt with in a high dependency area, which is short of the intensive care unit. In King Khalid University Hospital there is no such arrangement, so the mildly affected and critically ill patients together are cared for in the surgical intensive care unit. The objective of this study is to study the gynecological and obstetrical conditions requiring intensive care admission in King Khalid University Hospital, surgical intensive care unit.
All obstetrical and gynecological patients who were admitted to the surgical intensive care unit were included. The demographic particulars, reason for admission, the course of the surgical intensive care unit stay and outcome were studied.
During the study period of 3 years, there were 83, (100%) obstetrical and gynecological admissions to the surgical intensive care unit. Two (2%) cases were due to anesthesia complications. The majority of causes of admissions were due to obstetrical (n=63, 76%) complications or combination of medical and surgical conditions. Gynecological admissions comprised only 18 (22%) cases. There was no mortality in the group studied.
Management of major obstetrical emergencies and gynaecological patients require an understanding of medical conditions' influence on the patients, and the physiological changes of normal and abnormal pregnancies. Intensive care unit management is an essential part in raising the level of patient care; health personnel training and continuing health care education may be improved.
妇科患者入住外科重症监护病房的情况与产科病例不同。孕妇处于生育年龄，通常能很好地耐受妊娠和分娩。但存在某些罕见情况或并发症，会使孕妇的生命面临危急时刻。这些情况在介于普通病房和重症监护病房之间的高依赖区域进行处理。在哈立德国王大学医院没有这样的安排，所以病情较轻和重症患者都在外科重症监护病房接受护理。本研究的目的是调查哈立德国王大学医院外科重症监护病房收治的需要重症监护的妇科和产科情况。
纳入所有入住外科重症监护病房的妇产科患者。研究其人口统计学特征、入院原因、在外科重症监护病房的住院过程及结局。
在为期3年的研究期间，共有83例（100%）妇产科患者入住外科重症监护病房。2例（2%）是麻醉并发症所致。大多数入院原因是产科并发症（n = 63，76%）或内科与外科情况并存。妇科入院患者仅18例（22%）。研究组无死亡病例。
处理重大产科急症和妇科患者需要了解疾病状况对患者的影响，以及正常和异常妊娠的生理变化。重症监护病房的管理是提高患者护理水平的重要组成部分；可改进医护人员培训和持续的卫生保健教育。
