摘要
目的：探讨影响三级医院接收产后出血转诊患者预后的临床因素。方法：回顾性分析2002年1月-2004年12月88例产后出血转诊病例，调查资料包括产妇年龄、孕产次、分娩方式、产后出血原因、院外处理、入院时情况、入院后处理及预后结局。结果：88例产后出血转诊病例中5例死亡，多因素分析影响产后出血抢救成功的因素为是否发生凝血功能障碍（回归系数=2．659，OR值=14．286）、是否在院外得到正确处理（回归系数=-9．700，OR值=6．131×10^-5）。结论：提高医疗质量，针对产后出血病因进行抢救，即可改善产后出血转诊患者的预后。
Objective： To investigate the clinical factors influencing the prognosis of lying - in women with postpartum haemorrhage transferred to the third class hospital. Methods： Retrospective analysis was made to study the prognosis of 88 lying - in women with postpartum haemorrhage transferred from primary and secondary hospitals. The investigation factors included the age of the patients, gravidity parity, the mode of delivery, the cause of haemorrhage, the state of registration and the treatment before and after enrollment. Results ： 5 patients died. The logistic analyses showed that influential factors of prognosis included prolonged coagulation （ B = 2. 659, OR = 14. 286） and the proper treatment before transfer （B = -9. 700, OR = 6. 131 × 10^-5） . Conclusion： The prognosis of lying- in women with postpartum haemorrhage transferred from primary and secondary hospitals could be improved significantly by the proper treatment to the cause of haemorrhage before transfer.
出处
《中国妇幼保健》
CAS
北大核心
2006年第1期34-35,共2页
Maternal and Child Health Care of China
关键词
产后出血
死亡
转诊
Postpartum haemorrhage
Death
Transfer
