Ben Letaifa D, Daouas N, Ben Jazia K, Slama A, Jegham H
Service d'Anesthésie-Réanimation, CHU Farhat Hached, Sousse, Tunisie.
J Gynecol Obstet Biol Reprod (Paris). 2002 May;31(3):256-60.
Evaluation of severe maternal morbidity in peripartum period leading to controlled ventilation in the obstetrical intensive care unit.
A retrospective study was carried out during a period of three years, from March 1998 to March 2001, in the obstetrical intensive care unit (ICU) of Farhat Hached hospital, Sousse (Tunisia).
Twenty obstetric patients requiring controlled ventilation were admitted in the ICU. Obstetric data included maternal age, gestational age, parity, diagnosis of the disease requiring controlled ventilation and maternal outcome.
A total of 24812 deliveries occurred during the study period at Farhat Hached maternal center. Twenty patients (0.08 percent) required controlled ventilation for a mean duration of 38 hours (range: five hours- 21 days). The mean age was 30 +3 years. Eight patients were primigravida. The mean gestational age was 33 +2 weeks. Seventeen patients (85 percent) underwent cesarean section. The mean duration in the ICU was six days (range: 5 hours - 34 days). There were six maternal deaths (30 percent). Maternal mortality was attributed to neurologic 40 percent, hemodynamic 30 percent or respiratory 30 percent failure which complicated eclampsia, hemorrhagic shock, pulmonary edema or sepsis.
There were 0.08 percent of obstetric patients requiring controlled ventilation. The serious maternal morbidity and the high mortality require better care of obstetric patients.
评估围产期严重孕产妇发病情况，这些情况导致在产科重症监护病房需要进行控制通气。
1998年3月至2001年3月的三年期间，在突尼斯苏塞法哈特·哈谢德医院的产科重症监护病房进行了一项回顾性研究。
20名需要控制通气的产科患者入住重症监护病房。产科数据包括产妇年龄、孕周、产次、需要控制通气的疾病诊断以及产妇结局。
在法哈特·哈谢德孕产妇中心的研究期间共发生24812例分娩。20名患者（0.08%）需要控制通气，平均持续时间为38小时（范围：5小时至21天）。平均年龄为30±3岁。8名患者为初产妇。平均孕周为33±2周。17名患者（85%）接受了剖宫产。在重症监护病房的平均住院时间为6天（范围：5小时至34天）。有6例产妇死亡（30%）。产妇死亡归因于神经系统衰竭40%、血流动力学衰竭30%或呼吸衰竭30%，这些情况并发于子痫、失血性休克、肺水肿或败血症。
0.08%的产科患者需要控制通气。严重的孕产妇发病情况和高死亡率要求对产科患者给予更好的护理。
