2002—2010年长春地区46例产科出血死亡原因分析

2002～2010 year Changchun area 46 example obstetrics hemorrhage cause of death analysis

目的:通过对46例孕产妇产科出血死亡原因分析,提出降低长春地区孕产妇死亡率的干预措施。方法:长春地区13个县(市)、区(开发区),按国家统一要求,填报孕产妇死亡报告卡,死亡调查附卷、报表以及专家评审资料。结果:2002～2010年长春地区死亡孕产妇共144例。其中因产科出血死亡46例,占死亡的31.94%。而在产科出血死亡中,因产后宫缩乏力死亡的孕产妇29例,占产科出血死亡63.04%。因转院途中死亡孕产妇4例,占产科出血死亡8.7%。结论:①加强乡级保健网络建设,提高助产机构质量。②加强基层人员"三基"培训,提高产科急危重症的诊断、治疗水平,是减少产科出血的发生,降低孕产妇死亡率的重要措施。

Objective：Through to 46 example pregnant women obstetrics hemorrhage cause of death analysis,proposed that cuts Changchun area pregnant woman mortality rate the intervention measure.Method：Changchun area 13 counties（city）,area（development zone）,according to national unification request,filling in a form pregnant woman death report card,death investigation attachment,report form as well as expert appraisal material.Finally：2002～2010 year Changchun area death pregnant woman altogether 144 examples.And because obstetrics hemorrhage dies 46 examples,occupies the death 31.94%.But in obstetrics hemorrhage death,because produces the harem to shrink the asthenia death the pregnant woman 29 examples,occupies obstetrics hemorrhage to die 63.04%.Because transfers to another hospital dies on the way the pregnant woman 4 examples,occupies obstetrics hemorrhage to die 8.7%.Conclusion：1st,strengthens the township level health care network construction, improves the midwifery organization quality.2nd,strengthens the basic unit personnel＂the three basics＂training,enhances obstetrics dangerous critically ill diagnosis,the treatment level,is reduces obstetrics hemorrhage the occurrence,cuts the pregnant woman mortality rate the important measure.