妇幼专科医院孕产妇重症监护病房管理模式的初步探索

Preliminary exploration of management mode of maternal intensive care unit in maternal and child specialized hospital

妇幼专科医院设立孕产妇重症监护病房不仅是政策要求,更是形势需要。现有的危重孕产妇管理模式各有利弊。建立孕产妇重症监护病房,以产科医生为主导,产科医生和重症医生共同诊治患者,组建具有产科危重症早期识别及救治经验的医护团队,可实现产科与重症诊疗思维及技术的交叉渗透,不仅最大限度地实现了对高危孕妇的早筛查、早识别、早评估和早处理,还可优化利用稀缺重症医疗资源,有利于提高产科危重患者的救治水平,保障母胎安全,这种管理模式值得推广。

The establishment of maternity intensive care unit in maternal and child specialized hospital is not only the requirement of policy, but also is the need of the situation. There are some advantages and disadvantages in the current management mode of critical maternal women. Establishing an maternity intensive care unit for maternal women, with obstetricians as the leading role, obstetricians and critically ill doctors jointly diagnosing and treating patients, and setting up a medical and nursing team with experience in early identification and treatment of obstetric critical illness, can realize the cross-penetration of obstetric and critical illness diagnosis and treatment thinking and technology. It can not only maximally achieve the early screening, early identification, early assessment and early treatment of high-risk pregnant women, but also can optimize the utilization of scarce critical medical resources, which is conducive to improving the treatment level of critical obstetric patients and ensuring maternal and fetal safety. This management mode is worth promoting.