Gatt Stephen
Division of Anaesthesia and Intensive Care, Prince of Wales Sydney Children's Hospitals and Royal Hospital for Women, Randwick, New South Wales, Australia.
Curr Opin Anaesthesiol. 2003 Jun;16(3):263-7. doi: 10.1097/00001503-200306000-00004.
Increasing numbers of sick pregnant and peripartum women are cared for in the intensive care unit. This review looks at the current mortality, the disease severity of admitted patients and the current need for intensive care unit and high dependency unit beds to cater for these women. It also looks at some recent advances in the treatment of some specific disease entities encountered in the intensive care unit in pregnant women and parturients which have been covered in the 2001-2002 literature.
There has been a substantial fall in intensive care unit mortality in the last decade and there is a definite place for these women in intensive care unit. They represent a subgroup of severely ill patients with a need for intensive treatment and monitoring and who are worth the investment in time and money because they often recover from their acute illness to return to full productivity.
The high dependency unit and intensive care unit and their role in the service to the pregnant woman and parturient are the main focus of this review which looks at the last 2 years' literature to determine the critical care services' worth and efficacy. In almost all countries, even in the smaller regional hospitals, the intensive care units and high dependency units have reduced maternal mortality and morbidity. The neonatal high dependency units have done much the same for the newborn but the neonatal literature is not reviewed for the purposes of this symposium.
越来越多患病的孕妇和围产期妇女在重症监护病房接受治疗。本综述探讨了当前的死亡率、入院患者的疾病严重程度以及目前重症监护病房和高依赖病房满足这些妇女需求的床位情况。它还审视了2001 - 2002年文献中所涵盖的孕妇和产妇在重症监护病房中遇到的某些特定疾病实体治疗方面的一些最新进展。
在过去十年中，重症监护病房的死亡率大幅下降，这些妇女在重症监护病房有明确的收治意义。她们是一组需要强化治疗和监测的重症患者，值得投入时间和金钱，因为她们常常能从急性疾病中康复并恢复完全的生产能力。
高依赖病房和重症监护病房及其在为孕妇和产妇服务中的作用是本综述的主要关注点，本综述查阅了过去两年的文献以确定重症监护服务的价值和效果。在几乎所有国家，即使在较小的地区医院，重症监护病房和高依赖病房都降低了孕产妇的死亡率和发病率。新生儿高依赖病房对新生儿也起到了类似作用，但本次研讨会未对新生儿相关文献进行综述。
