Platteau P, Engelhardt T, Moodley J, Muckart D J
Department of Obstetrics & Gynaecology, University of Natal, Congella, South Africa.
Trop Doct. 1997 Oct;27(4):202-6. doi: 10.1177/004947559702700406.
Management of the critically ill patient forms a significant proportion of obstetric and gynaecological (O & G) practice. There have however, been very few reports on the management of such patients in intensive care units (ICU). We review all O & G patients admitted to the surgical ICU at King Edward VIII Hospital, Durban, South Africa, and make recommendations regarding management of such patients. The medical records of all O & G patients admitted to the surgical ICU between the period January-December 1992 were analysed. Of all admissions to the ICU 13.6% (n = 122) were O & G patients. Eclampsia was the most common diagnosis accounting for 66% of all obstetric admissions. Of all eclamptics in the study period 24% were admitted to the ICU. The overall maternal mortality was 21%. O & G patients form a major workload of surgical ICUs and the majority of these patients are women with eclampsia. Management of such patients requires an understanding of the physiological changes of normal and abnormal pregnancies. Therefore, all large obstetrical units in developing countries should establish their own ICU in order that patient care, health personnel training and continuing health care education may be improved.
危重症患者的管理在妇产科（O&G）实践中占很大比例。然而，关于重症监护病房（ICU）中此类患者管理的报道却非常少。我们回顾了南非德班爱德华八世医院外科ICU收治的所有妇产科患者，并就此类患者的管理提出建议。分析了1992年1月至12月期间收治到外科ICU的所有妇产科患者的病历。在所有入住ICU的患者中，13.6%（n = 122）为妇产科患者。子痫是最常见的诊断，占所有产科入院病例的66%。在研究期间，所有子痫患者中有24%入住了ICU。孕产妇总体死亡率为21%。妇产科患者构成了外科ICU的主要工作量，其中大多数患者是子痫患者。对此类患者的管理需要了解正常和异常妊娠的生理变化。因此，发展中国家的所有大型产科单位都应建立自己的ICU，以便改善患者护理、卫生人员培训和持续的卫生保健教育。
