González González G, Suárez Delgado J M, Marenco de la Fuente M L, Pajuelo Gallego A, Murillo García H
Servicio de Anestesiología y Reanimación del Hospital Maternoinfantil, Hospitales Universitarios Virgen del Rocío, Sevilla.
Rev Esp Anestesiol Reanim. 2005 Feb;52(2):71-4.
To describe the complications leading to admission of obstetric patients to intensive care or intensive postanesthetic care units. To describe the morbidity and mortality rates in such patients.
We carried out a descriptive study based on patient records of 23,246 births at the Hospital Materno Infantil belonging to the University Hospitals Virgen del Rocio in Sevilla, Spain, over a 3-year period (2001-2003).
In the 23,246 births reviewed, 746 women (3%) required admission to the obstetric postoperative intensive care unit. The most common reasons were pre-eclampsia in 146 cases (19%), ectopic pregnancy in 97 cases (13%), and postpartum bleeding in 75 cases (10%). Among the 146 cases of preeclampsia treated in the unit, there were 8 cases of eclampsia and 7 of acute pulmonary edema. Two deaths (0.3%) occurred, due to eclampsia in 1 case and to pulmonary thromboembolism in the other.
Obstetric patients are at risk of serious complications that require admission to intensive care or intensive postanesthetic care units, and we therefore emphasize the need to create such units at tertiary care hospitals.
描述导致产科患者入住重症监护病房或麻醉后重症监护病房的并发症。描述此类患者的发病率和死亡率。
我们基于西班牙塞维利亚罗西奥圣母大学医院所属的妇幼医院23246例分娩的患者记录进行了一项描述性研究，研究时间段为3年（2001 - 2003年）。
在审查的23246例分娩中，746名妇女（3%）需要入住产科术后重症监护病房。最常见的原因是子痫前期146例（19%）、异位妊娠97例（13%）和产后出血75例（10%）。在该病房治疗的146例子痫前期病例中，有8例子痫和7例急性肺水肿。发生了2例死亡（0.3%），1例死于子痫，另1例死于肺血栓栓塞。
产科患者有发生严重并发症的风险，需要入住重症监护病房或麻醉后重症监护病房，因此我们强调三级医院设立此类病房的必要性。
