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首页> 外文期刊>Southern African Journal of Critical Care >Obstetric intensive care admissions at a tertiary hospital in Limpopo Province, South Africa
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Obstetric intensive care admissions at a tertiary hospital in Limpopo Province, South Africa

机译：南非林波波省一家三级医院的产科重症监护病房

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OBJECTIVE: To determine the characteristics of obstetric patients admitted to the intensive care unit (ICU) at a tertiary hospital in the Limpopo Province, South Africa. METHODS: Hospital files of all obstetric patients admitted to the Pietersburg provincial referral hospital ICU from 1 January 2008 to 31 December 2012 were retrospectively reviewed. Age, parity, admission diagnosis, length of stay, information on the referring hospitals, and maternal outcomes were analysed. RESULTS: There were 138 obstetric ICU admissions during the study period (6.7% of all ICU admissions and 0.95% of all deliveries). The most common reasons for obstetric ICU admissions were pre-eclampsia or eclampsia (52.9%, n=73/138) and obstetric haemorrhage (18.1%, n=25/138). The mean age of the patients was 28 years, and mean duration of ICU stay was 8 days (range 0 - 163 days). Forty-eight maternal deaths occurred (34.8%), and of these, 27 were referrals from other hospitals (district and regional hospitals). Pre-eclampsia or eclampsia accounted for 25 (52%) of all deaths. CONCLUSION: Obstetric patients formed a small proportion ofICU admissions, but mortality among these patients was high. It is recommended that obstetric registrars rotate through a multidisciplinary ICU, and the need for a critical care specialist should be considered.
机译：目的：确定在南非林波波省一家三级医院接受重症监护病房（ICU）的产科患者的特征。方法：回顾性分析2008年1月1日至2012年12月31日在彼得斯堡省转诊医院ICU收治的所有产科患者的医院档案。分析了年龄，均等，入院诊断，住院时间，转诊医院的信息以及孕产妇的结局。结果：在研究期间，有138例产科ICU入院（占所有ICU入院的6.7％，占所有分娩的0.95％）。产科ICU入院的最常见原因是先兆子痫或子痫（52.9％，n = 73/138）和产科出血（18.1％，n = 25/138）。患者的平均年龄为28岁，平均ICU停留时间为8天（范围0-163天）。发生了48例产妇死亡（34.8％），其中27例是从其他医院（地区医院和地区医院）转诊的。子痫前期或子痫占所有死亡的25（52％）。结论：产科患者占ICU入院的比例很小，但这些患者的死亡率很高。建议产科注册服务商通过多学科ICU轮换，并且应考虑需要重症监护专家。

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