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首页> 外文期刊>Southern African Journal of Critical Care >Obstetric patients admitted to the intensive care unit of Dr George Mukhari Academic Hospital, Ga-Rankuwa, South Africa
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Obstetric patients admitted to the intensive care unit of Dr George Mukhari Academic Hospital, Ga-Rankuwa, South Africa

机译：南非Ga-Rankuwa George Mukhari学术医院重症监护病房的产科患者

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BACKGROUND. Pregnancy is a natural physiological process that normally ends uneventfully. However, there are instances where admission to an intensive care (ICU) is required. OBJECTIVES. To determine the spectrum of disease requiring ICU admission in obstetric patients, condition on discharge, maternal mortality, and the cause of maternal death. METHODS. A retrospective study of all pregnant and postpartum patients admitted from January 2008 to December 2011 was conducted. Outcome measures were the spectrum of disease, ICU interventions, and maternal outcomes. RESULTS. In total, 210 patients were reviewed. The mean age was 28.15 (standard deviation (SD) 6.97) years. Twelve (5.7%) patients were admitted at a mean (SD) gestational age of 25.33 (6.56) weeks, 94.2% (n=198) were postpartum, and 88.6% (n=186) were post-caesarean section. Pre-existing cardiac disease (44.3%, n=93), eclampsia and preeclampsia (20%, n=42), obstetric haemorrhage (16.2%, n=34), and pulmonary oedema (6.2%, n=13) were the most common causes of admission. Sixty-one percent (n=128) of patients received ventilatory support. The median length of ICU stay was 24 hours (range 1 - 17 days). Eighty-seven percent (n=183) of the patients were haemodynamically stable. Maternal mortality was 9% (n=19). CONCLUSION. Cardiac disease in pregnancy was the most common diagnosis in patients admitted to our ICU, followed by eclampsia and preeclampsia. Most of the patients (87.1%) were haemodynamically stable and needed minimal intervention, as confirmed by their short periods of stay in ICU. Although the mortality rate in our institution was higher than that observed in developed countries, it was lower than rates reported in other South African studies. This study has found that many of the patients were admitted to ICU for monitoring purposes only and did not require ICU level of care.
机译：背景。怀孕是自然的生理过程，通常会顺利结束。但是，在某些情况下，需要接受重症监护（ICU）。目标为了确定产科患者需要ICU入院的疾病范围，出院情况，孕产妇死亡率以及孕产妇死亡原因。方法。对2008年1月至2011年12月收治的所有孕妇和产后患者进行了回顾性研究。结果指标是疾病范围，ICU干预措施和孕产妇结局。结果。总共检查了210名患者。平均年龄为28.15岁（标准差（SD）6.97）岁。十二（5.7％）名患者的平均胎龄为25.33（6.56）周，产后为94.2％（n = 198），剖腹产为88.6％（n = 186）。既往有心脏病（44.3％，n = 93），子痫和先兆子痫（20％，n = 42），产科出血（16.2％，n = 34）和肺水肿（6.2％，n = 13）是最常见的入院原因。百分之六十一（n = 128）的患者获得了通气支持。 ICU住院的中位时间为24小时（范围为1-17天）。 87％（n = 183）的患者血液动力学稳定。孕产妇死亡率为9％（n = 19）。结论。怀孕期间的心脏病是我们入住ICU的患者中最常见的诊断，其次是子痫和先兆子痫。大多数患者（87.1％）血流动力学稳定，需要极少干预，这一点由他们在ICU短期住院所证实。尽管我们机构的死亡率高于发达国家，但低于其他南非研究报告的死亡率。这项研究发现，许多患者仅出于监护目的而入住ICU，不需要ICU级别的护理。

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