摘要
目的总结高风险孕产妇特点,讨论相应多学科救治体系建设及实施情况。方法选择2017年1月1日至2020年12月31日本院接诊高风险孕产妇患者,总结患者基本信息、高风险类型、救治情况、临床转归。结果共救治高风险孕产妇98例,严重系统性合并症占84.7%(83/98),病种类型分散。在本院所建立的高风险孕产妇多学科救治保障体系下,91例经救治后好转、医嘱离院,预后不良病例共7例。结论北京市三级综合医院接诊的高风险孕产妇病情更为复杂。本院为应对孕产妇病情高风险、病种分散特点,建立了以多学科和会诊专家组为主要特点的高风险孕产妇救治体系,安全、高效、高质完成高风险孕产妇的诊治工作,具有一定借鉴意义。
Objective To analyze the characteristics of high-risk maternal patients and evaluate the multidisciplinary medical care system we established correspondingly.Method We collected and analyzed the medical records of high-risk maternal patients who received medical care from January 1,2017 to December 31,2020 in Peking Union Medical College Hospital.Results Ninety-eight high-risk maternal patients were included in this study,and 84.7%(83/98)of them were combined with different severe systemic diseases.Under the multidisciplinary medical care system,91 patients showed improved conditions and were discharged,and the other 7 cases had poor prognosis.Conclusions General tertiary hospitals in Beijing are receiving maternal patients with more high-risk complications.Considering the high risk and diverse diseases of maternal patients admitted to our hospital,we established a medical care system composed of a multidisciplinary panel of experts for high-risk maternal patients to improve the medical care and prognosis of the patients with high efficiency.
作者
王维嘉
裴丽坚
高劲松
常青
黄宇光
WANG Weijia;PEI Lijian;GAO Jinsong;CHANG Qing;HUANG Yuguang(Department of Anesthesiology,PUMC Hospital,CAMS and PUMC,Beijing 100730,China;Department of Gynecology and Obstetrics,PUMC Hospital,CAMS and PUMC,Beijing 100730,China;Department of Medical Affairs,PUMC Hospital,CAMS and PUMC,Beijing 100730,China)
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
2021年第6期865-868,共4页
Acta Academiae Medicinae Sinicae
关键词
综合医院
高危妊娠
医疗服务
风险管理
general hospital
high-risk pregnancy
medical care
risk management
