\u672c\u6587\u520a\u767b\u4e8e\u300a\u4e2d\u56fd\u5b9e\u7528\u5987\u79d1\u4e0e\u4ea7\u79d1\u6742\u5fd7\u300b2025,41(1):88-95<\/p>\n
DOI\uff1a10.19538\/j.fk2025010121<\/p>\n
\u3010\u5f15\u7528\u672c\u6587\u3011\u4e2d\u56fd\u4f18\u751f\u79d1\u5b66\u534f\u4f1a.\u5371\u91cd\u5b55\u4ea7\u5987\u8f6c\u8bca\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\uff082025\u5e74\u7248\uff09\uff3bJ\uff3d.\u4e2d\u56fd\u5b9e\u7528\u5987\u79d1\u4e0e\u4ea7\u79d1\u6742\u5fd7\uff0c2025,41(1):88-95.<\/p>\n
\u4f5c\u8005\uff1a\u4e2d\u56fd\u4f18\u751f\u79d1\u5b66\u534f\u4f1a<\/p>\n
\u57fa\u91d1\u9879\u76ee\uff1a\u6c5f\u82cf\u7701\u536b\u751f\u5065\u5eb7\u59d4\u5458\u4f1a\u79d1\u7814\u8bfe\u9898\u91cd\u70b9\u9879\u76ee\uff08ZD2021047\uff09\uff1b\u6c5f\u82cf\u7701\u81ea\u7136\u79d1\u5b66\u57fa\u91d1\uff08BK20231423\uff09<\/p>\n
\u901a\u4fe1\u4f5c\u8005\uff1a\u4e8e\u7ea2\uff0c\u4e1c\u5357\u5927\u5b66\u9644\u5c5e\u4e2d\u5927\u533b\u9662\uff0c\u6c5f\u82cf \u5357\u4eac210009\uff0c\u7535\u5b50\u4fe1\u7bb1\uff1ayuhong650325@sina.com\uff1b\u674e\u529b\uff0c\u9646\u519b\u519b\u533b\u5927\u5b66\u9646\u519b\u7279\u8272\u533b\u5b66\u4e2d\u5fc3\uff08\u5927\u576a\u533b\u9662\uff09\uff0c\u91cd\u5e86 400042\uff0c\u7535\u5b50\u4fe1\u7bb1\uff1acqlili@tmmu.edu.cn<\/p>\n
\u6267\u7b14\u4e13\u5bb6\uff1a\u4e8e\u7ea2\uff08\u4e1c\u5357\u5927\u5b66\u9644\u5c5e\u4e2d\u5927\u533b\u9662\uff09\uff1b\u674e\u529b\uff3b\u9646\u519b\u519b\u533b\u5927\u5b66\u9646\u519b\u7279\u8272\u533b\u5b66\u4e2d\u5fc3\uff08\u5927\u576a\u533b\u9662\uff09\uff3d<\/p>\n
\u53c2\u4e0e\u5171\u8bc6\u5236\u5b9a\u4e0e\u8ba8\u8bba\u4e13\u5bb6\uff08\u6309\u59d3\u6c0f\u7b14\u753b\u6392\u5e8f\uff09\uff1a\u738b\u4e39\uff08\u9646\u519b\u519b\u533b\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\uff09\uff1b\u738b\u84d3\uff08\u4e1c\u5357\u5927\u5b66\u516c\u5171\u536b\u751f\u5b66\u9662\uff09\uff1b\u738b\u5c11\u4e3a\uff08\u5317\uff09\uff1b\u9f99\u4f1f\uff08\u5357\u4eac\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u5987\u4ea7\u533b\u9662\uff09\uff1b\u7533\u5357\uff08\u9996\u90fd\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u5317\u4eac\u5987\u4ea7\u533b\u9662\uff09\uff1b\u4efb\u6155\u5170\uff08\u4e1c\u5357\u5927\u5b66\u9644\u5c5e\u4e2d\u5927\u533b\u9662\uff09\uff1b\u5218\u5f69\u971e\uff08\u4e2d\u56fd\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u76db\uff09\uff1b\u5b59\u4e3d\u6d32\uff08\u5357\u4eac\u533b\u79d1\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\uff09\uff1b\u674e\u4ef2\u5747\uff08\u5357\u65b9\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7b2c\u5341\u4eba\u6c11\u533b\u9662\uff09\uff1b\u674e\u5149\u8f89\uff08\u9996\u90fd\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u5317\u4eac\u5987\u4ea7\u533b\u9662\uff09\uff1b\u674e\u6839\u971e\uff08\u90d1\u5dde\u5927\u5b66\u7b2c\u4e09\u9644\u5c5e\u533b\u9662\uff09\uff1b\u674e\u96ea\u5170\uff08\u897f\u5b89\u4ea4\u901a\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\uff09\uff1b\u6768\u5b5c\uff08\u5317\u4eac\u5927\u5b66\u7b2c\u4e09\u533b\u9662\uff09\uff1b\u6c88\u6768\uff08\u4e1c\u5357\u5927\u5b66\u9644\u5c5e\u4e2d\u5927\u533b\u9662\uff09\uff1b\u5f20\u7fbd\uff08\u4e0a\u6d77\u4ea4\u901a\u5927\u5b66\u533b\u5b66\u9662\u9644\u5c5e\u4ec1\u6d4e\u533b\u9662\uff09\uff1b\u5f20\u851a\uff08\u6b66\u6c49\u5927\u5b66\u4e2d\u5357\u533b\u9662\uff09\uff1b\u9648\u94b0\uff08\u6c5f\u5357\u5927\u5b66\u9644\u5c5e\u5987\u4ea7\u533b\u9662\uff09\uff1b\u9648\u4e39\u9752\uff08\u6d59\u6c5f\u5927\u5b66\u533b\u5b66\u9662\u9644\u5c5e\u5987\u4ea7\u79d1\u533b\u9662\uff09\uff1b\u5468\u5bb9\uff08\u56db\u5ddd\u5927\u5b66\u534e\u897f\u7b2c\u4e8c\u533b\u9662\uff09\uff1b\u90d1\u5251\u5170\uff08\u53a6\u95e8\u5927\u5b66\u9644\u5c5e\u6210\u529f\u533b\u9662\uff09\uff1b\u4fde\u4e3d\u4e3d\uff08\u91cd\u5e86\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7b2c\u4e09\u533b\u9662\uff09\uff1b\u8d3e\u745e\u5586\uff08\u4e1c\u5357\u5927\u5b66\u9644\u5c5e\u4e2d\u5927\u533b\u9662\uff09\uff1b\u9ec4\u7545\u6653\uff3b\u9646\u519b\u519b\u533b\u5927\u5b66\u9646\u519b\u7279\u8272\u533b\u5b66\u4e2d\u5fc3\uff08\u5927\u576a\u533b\u9662\uff09\uff3d\uff1b\u9ec4\u8389\u840d\uff08\u5357\u65b9\u533b\u79d1\u5927\u5b66\u5357\u65b9\u533b\u9662\uff09\uff1b\u5e38\u9752\uff08\u9646\u519b\u519b\u533b\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\uff09\uff1b\u8463\u6653\u9759\uff08\u91cd\u5e86\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u7b2c\u4e8c\u533b\u9662\uff09\uff1b\u97e9\u5065\uff3b\u9646\u519b\u519b\u533b\u5927\u5b66\u9646\u519b\u7279\u8272\u533b\u5b66\u4e2d\u5fc3\uff08\u5927\u576a\u533b\u9662\uff09\uff3d\uff1b\u7a0b\u851a\u851a\uff08\u4e0a\u6d77\u4ea4\u901a\u5927\u5b66\u533b\u5b66\u9662\u9644\u5c5e\u56fd\u9645\u548c\u5e73\u5987\u5e7c\u4fdd\u5065\u9662\uff09\uff1b\u8c22\u5251\u950b\uff08\u4e1c\u5357\u5927\u5b66\u9644\u5c5e\u4e2d\u5927\u533b\u9662\uff09\uff1b\u989c\u5efa\u82f1\uff08\u798f\u5efa\u533b\u79d1\u5927\u5b66\u5987\u513f\u4e34\u5e8a\u533b\u5b66\u9662\uff09\uff1b\u6234\u6bc5\u654f\uff08\u5357\u4eac\u5927\u5b66\u533b\u5b66\u9662\u9644\u5c5e\u9f13\u697c\u533b\u9662\uff09\uff1b\u9b4f\u5a9b\uff08\u5317\u4eac\u5927\u5b66\u7b2c\u4e09\u533b\u9662\uff09<\/p>\n
\u79d8\u4e66\uff1a\u4fde\u7693\u95fd\uff08\u4e1c\u5357\u5927\u5b66\u9644\u5c5e\u4e2d\u5927\u533b\u9662\uff09\uff1b\u5f20\u4e30\u6e90\uff08\u4e1c\u5357\u5927\u5b66\u9644\u5c5e\u4e2d\u5927\u533b\u9662\uff09<\/p>\n
\u5371\u91cd\u5b55\u4ea7\u5987\uff08maternal near miss\uff0cMNM\uff09\u8f6c\u8bca\u7684\u5ef6\u8bef\u6216\u5904\u7406\u4e0d\u5f53\u4e0e\u5b55\u4ea7\u5987\u6b7b\u4ea1\u606f\u606f\u76f8\u5173\u3002\u5efa\u7acb\u4e00\u4e2a\u5b8c\u5584\u7684MNM\u8f6c\u8bca\u7cfb\u7edf\u5e76\u7ef4\u6301\u5176\u826f\u597d\u7684\u8fd0\u8f6c\uff0c\u5bf9\u4e8e\u964d\u4f4e\u5b55\u4ea7\u5987\u6b7b\u4ea1\u7387\uff0c\u4fdd\u969cMNM\u751f\u547d\u5b89\u5168\u53ca\u83b7\u5f97\u826f\u597d\u7684\u9884\u540e\u81f3\u5173\u91cd\u8981\u3002<\/p>\n
\u672c\u5171\u8bc6\u4eceMNM\u5b9a\u4e49\u3001\u8f6c\u8bca\u76ee\u7684\u3001\u5206\u7c7b\u3001\u539f\u5219\u3001\u8f6c\u8bca\u6d41\u7a0b\u3001\u8f6c\u8fd0\u5b9e\u65bd\u3001\u5e94\u6025\u7ba1\u63a7\u3001\u63a5\u6536\u533b\u9662\u5904\u7406\u6d41\u7a0b\u53ca\u603b\u7ed3\u8bc4\u4ef79\u4e2a\u65b9\u9762\u786e\u7acb\u89c4\u8303\uff0c\u65e8\u5728\u4fdd\u969c\u6bcd\u513f\u5b89\u5168\uff0c\u6539\u5584\u4e0d\u826f\u598a\u5a20\u7ed3\u5c40\u3002\u9488\u5bf9MNM\u8f6c\u8bca\u8fc7\u7a0b\u4e2d\u7684\u5173\u952e\u95ee\u9898\uff0c\u53c2\u8003\u56fd\u5185\u5916\u6307\u5357\uff0c\u57fa\u4e8e\u6587\u732e\u5faa\u8bc1\u548c\u4ea7\u79d1\u3001\u65b0\u751f\u513f\u79d1\u53ca\u91cd\u75c7\u533b\u5b66\u79d1\u7b49\u4e34\u5e8a\u5b9e\u8df5\uff0c\u5e76\u7ecf\u5de5\u4f5c\u7ec4\u5168\u4f53\u4e13\u5bb6\u53cd\u590d\u8ba8\u8bba\u64b0\u5199\u4fee\u8ba2\u51fa\u672cMNM\u8f6c\u8bca\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\uff0c\u5e76\u5728\u56fd\u9645\u5b9e\u8df5\u6307\u5357\u6ce8\u518c\u4e0e\u900f\u660e\u5316\u5e73\u53f0\uff08http\uff1a\/\/guidelines-registry.cn\uff09\u8fdb\u884c\u53cc\u8bed\u6ce8\u518c\uff08\u6ce8\u518c\u53f7\uff1aPREPARE-2024CN950\uff09\u3002\u5e76\u4e14\u91c7\u7528\u7684\u662f\u8bc4\u4f30\u3001\u5236\u5b9a\u4e0e\u8bc4\u4ef7\u5206\u7ea7\u7cfb\u7edf\uff08GRADE\uff09\u7684\u8bc1\u636e\u8d28\u91cf\u5206\u7ea7\u3001\u63a8\u8350\u5f3a\u5ea6\uff0c\u4ee5\u4f9b\u4e34\u5e8a\u533b\u751f\u5728\u5de5\u4f5c\u4e2d\u53c2\u8003\u3002\u63a8\u8350\u610f\u89c1\u3001\u8bc1\u636e\u7ea7\u522b\u53ca\u4ee3\u8868\u610f\u4e49\u89c1\u88681\u3002<\/p>\n<\/p>\n
1 <\/p>\n
MNM\u5b9a\u4e49\u53ca\u4e34\u5e8a\u610f\u4e49<\/p>\n
\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\uff08WHO\uff09\u5c06\u5b9a\u4e49\u4e3a\u5728\u598a\u5a20\u3001\u5206\u5a29\u6216\u5728\u4ea7\u540e42d\u5185\u53d1\u751f\u4efb\u4f55\u4e00\u79cd\u5a01\u80c1\u5176\u751f\u547d\u60c5\u51b5\u5e76\u5b58\u6d3b\u4e0b\u6765\u7684\u5b55\u4ea7\u5987\uff3b1\uff3d\u3002\u5305\u62ec\u4e34\u5e8a\u75c7\u72b6\u3001\u4f53\u5f81\u3001\u5b9e\u9a8c\u5ba4\u68c0\u67e5\u53ca\u6cbb\u7597\u63aa\u65bd\u7b49\u65b9\u9762\u7684\u5185\u5bb9\u3002\u5e76\u5c06Severe Acute Maternal Morbidity\uff08SAMM\uff09\u53d8\u66f4\u4e3aMNM\uff3b1-2\uff3d\u3002\u7531\u4e8e\u5404\u56fd\u5728\u56f4\u4ea7\u4fdd\u5065\u670d\u52a1\u7684\u8986\u76d6\u8303\u56f4\u4e0a\u5b58\u5728\u663e\u8457\u5dee\u5f02\uff0c\u5bf9\u4e8eMNM\u7684\u7edf\u8ba1\u6570\u636e\u6536\u96c6\u9762\u4e34\u8f83\u5927\u6311\u6218\uff0c\u56fd\u5185\u5916\u6709\u9650\u7684\u7edf\u8ba1\u8d44\u6599\u663e\u793a\u53d1\u751f\u7387\u7ea60.4%~1%\uff3b3-5\uff3d\u3002<\/p>\n
\u7ed3\u5408\u4e2d\u56fd\u4ea7\u79d1\u4e34\u5e8a\u5b9e\u8df5\uff0c\u5b55\u4ea7\u5987\u9ad8\u9f84\u3001\u5408\u5e76\u4ee3\u8c22\u6027\u75be\u75c5\u7b49\u72b6\u51b5\u589e\u52a0\uff0c\u5bfc\u81f4MNM\u7684\u53d1\u751f\u7387\u6709\u4e0a\u5347\u8d8b\u52bf\u3002\u901a\u8fc7\u7efc\u5408\u8bc4\u4f30\uff0c\u53ef\u4ee5\u66f4\u51c6\u786e\u5730\u8bc6\u522bMNM\uff0c\u5728\u4fdd\u969c\u5b89\u5168\u524d\u63d0\u4e0b\u53ca\u65f6\u8f6c\u8bca\uff0c\u5bf9\u964d\u4f4e\u5b55\u4ea7\u5987\u6b7b\u4ea1\u7387\uff0c\u6539\u5584\u598a\u5a20\u7ed3\u5c40\uff0c\u7ef4\u62a4\u6bcd\u513f\u5065\u5eb7\u6709\u91cd\u8981\u610f\u4e49\uff3b6-8\uff3d\u3002<\/p>\n
2 <\/p>\n
MNM\u8f6c\u8bca\u76ee\u7684<\/p>\n
\u5f53\u63a5\u8bca\u533b\u7597\u673a\u6784\u4e0d\u5177\u5907\u5bf9\u598a\u5a20\u5408\u5e76\u75c7\u3001\u5e76\u53d1\u75c7\u7684MNM\u63d0\u4f9b\u9002\u5f53\u8bca\u7597\u670d\u52a1\u548c\u6551\u6cbb\u7684\u80fd\u529b\u65f6\uff0c\u5e94\u7531\u7ecf\u8fc7\u4e13\u4e1a\u57f9\u8bad\u5e76\u5177\u5907\u7d27\u6025\u533b\u7597\u6551\u52a9\u6280\u80fd\u7684\u533b\u7597\u56e2\u961f\u5b9e\u65bd\u8f6c\u8bca\u5230\u5177\u5907\u5b55\u4ea7\u5987\u91cd\u75c7\u6551\u62a4\u80fd\u529b\u7684\u4e09\u7ea7\u7efc\u5408\u6027\u533b\u9662\uff0c\u786e\u4fdd\u5b55\u4ea7\u5987\u80fd\u591f\u83b7\u5f97\u66f4\u4e13\u4e1a\u3001\u591a\u5b66\u79d1\u7684\u533b\u7597\u670d\u52a1\u548c\u53ca\u65f6\u6551\u6cbb\uff0c\u5408\u7406\u5229\u7528\u533b\u7597\u8d44\u6e90\uff0c\u4ece\u800c\u964d\u4f4e\u6bcd\u513f\u98ce\u9669\uff0c\u63d0\u9ad8\u6551\u6cbb\u6210\u529f\u7387\uff0c\u4fdd\u969c\u6bcd\u513f\u5065\u5eb7\uff3b9-10\uff3d\u3002<\/p>\n
3 <\/p>\n
MNM\u8f6c\u8bca\u5206\u7c7b<\/p>\n
\u5305\u62ec\u6bcd\u80ce\u8f6c\u8bca\u3001\u4ea7\u540e\u8f6c\u8bca2\u79cd\u3002\u5982\u672a\u8db3\u6708\u598a\u5a20\u80ce\u513f\u5bab\u5185\u60c5\u51b5\u5141\u8bb8\uff0c\u66f4\u63a8\u8350\u5b9e\u65bd\u6bcd\u80ce\u8f6c\u8fd0\uff0c\u5c06MNM\u8f6c\u8bca\u81f3\u6709\u5b55\u4ea7\u5987\u53ca\u65b0\u751f\u513f\u6551\u6cbb\u80fd\u529b\u7684\u533b\u9662\u540e\u7ec8\u6b62\u598a\u5a20\uff3b11-14\uff3d\uff08\u8bc1\u636e\u8d28\u91cf\uff1aA\uff1b\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09\u3002<\/p>\n
4 <\/p>\n
MNM\u8f6c\u8bca\u539f\u5219<\/p>\n
\u5305\u62ec\u786e\u4fdd\u5b89\u5168\u3001\u5168\u9762\u8bc4\u4f30\u548c\u5145\u5206\u6c9f\u901a\uff3b10-13\uff0c15-21\uff3d\u30024.1 \u786e\u4fdd\u5b89\u5168 \u5b89\u5168\u662fMNM\u8f6c\u8bca\u7684\u6838\u5fc3\u3002\u5e94\u5728\u533b\u7597\u5b89\u5168\u5f97\u5230\u5145\u5206\u4fdd\u969c\u7684\u524d\u63d0\u4e0b\u5b9e\u65bd\u8f6c\u8bca\uff0c\u907f\u514d\u76f2\u76ee\u8f6c\u8bca\u7684\u98ce\u9669\uff08\u8bc1\u636e\u8d28\u91cf\uff1aB\uff1b\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09\u30024.2 \u5168\u9762\u8bc4\u4f30 \u4e3b\u7ba1\u5355\u4f4d\u7ec4\u6210\u7531\u4ea7\u79d1\u3001\u5987\u79d1\u3001\u6025\u8bca\u79d1\u3001\u65b0\u751f\u513f\u79d1\u3001\u9ebb\u9189\u79d1\u3001\u4ecb\u5165\u79d1\u3001\u91cd\u75c7\u533b\u5b66\u79d1\u3001\u5185\u5916\u79d1\u7b49\u79d1\u5ba4\u533b\u751f\u6784\u6210\u7684\u4e13\u4e1a\u533b\u62a4\u56e2\u961f\uff0c\u5bf9\u5b55\u4ea7\u5987\u7684\u75c5\u60c5\u4e25\u91cd\u7a0b\u5ea6\u3001\u8f6c\u8fd0\u98ce\u9669\u4ee5\u53ca\u63a5\u6536\u533b\u9662\u7684\u6551\u6cbb\u80fd\u529b\u8fdb\u884c\u7efc\u5408\u8bc4\u4f30\uff0c\u9884\u5224\u8fd0\u9001\u65f6\u95f4\u53ca\u5b55\u4ea7\u5987\u5bf9\u75be\u75c5\u7684\u627f\u53d7\u5ea6\uff0c\u5b58\u5728\u8f6c\u8fd0\u7981\u5fcc\u7684\u5b55\u4ea7\u5987\u4e25\u7981\u76f2\u76ee\u8f6c\u8bca\uff08\u8bc1\u636e\u8d28\u91cf\uff1aB\uff1b\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09\u3002<\/p>\n
4.3 \u5145\u5206\u6c9f\u901a \u4e0e\u5b55\u4ea7\u5987\u53ca\u5bb6\u5c5e\uff08\u914d\u5076\u3001\u6210\u5e74\u5b50\u5973\u7b49\uff09\u5145\u5206\u6c9f\u901a\uff0c\u89e3\u91ca\u8f6c\u8fd0\u7684\u5fc5\u8981\u6027\u3001\u6f5c\u5728\u98ce\u9669\u53ca\u53ef\u80fd\u7684\u7ed3\u5c40\uff0c\u5f81\u5f97\u5176\u77e5\u60c5\u540c\u610f\u5e76\u7b7e\u7f72\u76f8\u5173\u6587\u4ef6\uff08\u8bc1\u636e\u8d28\u91cf\uff1aC\uff1b\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09<\/p>\n
5 <\/p>\n
MNM\u8f6c\u8bca\u6d41\u7a0b<\/p>\n
\u8bc4\u4f30\u548c\u7a33\u5b9a\u3001\u6c9f\u901a\u4e0e\u6587\u4e66\u3001\u8f6c\u8bca\u524d\u540e\u7684\u4fe1\u606f\u6c9f\u901a\u3001\u8d23\u4efb\u5206\u914d\u53ca\u8f6c\u8bca\u7684\u5b9e\u65bd\u30025.1 \u8bc4\u4f30\u4e0e\u7a33\u5b9a \u5e94\u6839\u636e\u5b55\u4ea7\u5987\u7684\u4eba\u53e3\u5b66\u4fe1\u606f\u3001\u75c5\u53f2\u3001\u4e34\u5e8a\u75c7\u72b6\u3001\u4f53\u5f81\u3001\u8f85\u52a9\u68c0\u67e5\u660e\u786e\u8bca\u65ad\u3002\u521d\u8bca\u533b\u5e08\u53ca\u533b\u9662\u5728\u8bc4\u4f30\u5b55\u4ea7\u5987\u6551\u6cbb\u8d85\u8fc7\u672c\u5355\u4f4d\u533b\u7597\u80fd\u529b\u65f6\uff0c\u5e94\u7acb\u5373\u901a\u8fc7\u7535\u8bdd\u3001\u89c6\u9891\u3001\u4fe1\u606f\u7b49\u5373\u65f6\u901a\u8baf\u5de5\u5177\u7b49\u5411\u4e0a\u7ea7\u5b55\u4ea7\u5987\u5371\u91cd\u75c7\u6551\u6cbb\u4e2d\u5fc3\u548c\u533b\u52a1\u5904\u4ea7\u79d1\u5b89\u5168\u7ba1\u7406\u529e\u516c\u5ba4\u6c47\u62a5\u5bfb\u6c42\u652f\u63f4\u3002\u5728\u8003\u8651\u8f6c\u8bca\u540e\uff0c\u9996\u8981\u4efb\u52a1\u662f\u8bc4\u4f30\u6bcd\u513f\u72b6\u51b5\u662f\u5426\u7a33\u5b9a\uff0c\u540c\u65f6\u5bc6\u5207\u5173\u6ce8\u5b55\u4ea7\u5987\u75c5\u60c5\u5728\u8f6c\u8bca\u8fc7\u7a0b\u4e2d\u662f\u5426\u6709\u6076\u5316\u7684\u8ff9\u8c61\uff0c\u5e76\u786e\u8ba4\u662f\u5426\u5b58\u5728\u8f6c\u8bca\u7981\u5fcc\u3002\u5982\u679c\u7ecf\u8fc7\u6743\u8861\u5229\u5f0a\u540e\u5fc5\u987b\u8f6c\u8bca\uff0c\u4f46\u75c5\u60c5\u4e0d\u7a33\u5b9a\u7b49\u5b58\u5728\u8f6c\u8bca\u7981\u5fcc\u7684\u5b55\u4ea7\u5987\uff0c\u8bf7\u6c42\u8f6c\u8bca\u7684\u533b\u52a1\u4eba\u5458\u5e94\u8bb0\u5f55\u8f6c\u8bca\u5230\u5176\u4ed6\u533b\u7597\u673a\u6784\u5bf9\u6bcd\u513f\u5229\u5927\u4e8e\u5f0a\u7684\u539f\u56e0\uff0c\u63a5\u8bca\u5355\u4f4d\u5e94\u8fdb\u884c\u79ef\u6781\u9884\u5904\u7406\uff0c\u964d\u4f4e\u8f6c\u8bca\u98ce\u9669\uff08\u5982\u4e0a\u7ea7\u533b\u9662\u6307\u5bfc\u62a2\u6551\u6216\u9488\u5bf9\u60a3\u8005\u75c5\u60c5\u8fdb\u884c\u79ef\u6781\u7684\u8f93\u8840\u3001\u964d\u538b\u6cbb\u7597\u7b49\uff09\uff3b11-12\uff0c 22-24\uff3d\uff08\u8bc1\u636e\u8d28\u91cf\uff1aA\uff1b\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09\u30025.1.1 \u5b55\u4ea7\u5987\u5371\u91cd\u75c7\u7684\u6807\u51c6 WHO\u63d0\u51fa\u7684MNM\u7b5b\u67e5\u6807\u51c6\u5305\u62ec\u4e25\u91cd\u6bcd\u4f53\u5e76\u53d1\u75c7\u3001\u91cd\u75c7\u5e72\u9884\u6216\u5165\u4f4f\u91cd\u75c7\u76d1\u62a4\u75c5\u623f\uff08ICU\uff09\u3001\u5371\u53ca\u751f\u547d\u7684\u60c5\u51b5\uff3b1\uff3d\uff08\u89c1\u88682\uff09\uff1b2020\u5e74\u6211\u56fd\u5728WHO\u7684\u57fa\u7840\u4e0a\u589e\u52a0\u4e86\u7b5b\u67e5\u4e25\u91cd\u7684\u598a\u5a20\u5e76\u53d1\u75c7\u53ca\u5408\u5e76\u75c7\u7684\u6807\u51c6\uff3b25\uff3d\uff08\u89c1\u88683\uff09\u3002<\/p>\n<\/p>\n
5.1.2 MNM\u8f6c\u8bca\u7684\u76f8\u5bf9\u7981\u5fcc \uff081\uff09\u5b55\u4ea7\u5987\u751f\u547d\u7279\u5f81\u4e0d\u7a33\u5b9a\uff08\u5982\u6301\u7eed\u51fa\u8840\u3001\u96be\u6cbb\u6027\u9ad8\u8840\u538b\u3001\u5fc3\u8870\u7b49\uff09\u3002\uff082\uff09\u9884\u8ba1\u5728\u8f6c\u8bca\u5b8c\u6210\u524d\u5206\u5a29\u4e0d\u53ef\u907f\u514d\u3002\uff083\uff09\u80ce\u513f\u60c5\u51b5\u4e0d\u7a33\u5b9a\uff0c\u5ef6\u8fdf\u5206\u5a29\u4f1a\u5bfc\u81f4\u65b0\u751f\u513f\u4e0d\u826f\u9884\u540e\u3002\uff084\uff09\u60a3\u8005\u62d2\u7edd\u8f6c\u8bca\u3002\uff085\uff09\u7f3a\u4e4f\u6bcd\u513f\u5b89\u5168\u8f6c\u8fd0\u7684\u9002\u5f53\u9014\u5f84\u3002\uff086\uff09\u5929\u6c14\u548c\u8def\u51b5\u8fc7\u4e8e\u5371\u9669\uff0c\u65e0\u6cd5\u5b89\u5168\u8f6c\u8fd0\uff3b12\uff0c25-27\uff3d\uff08\u8bc1\u636e\u8d28\u91cf\uff1aB\uff1b\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09\u30025.1.3 MNM\u75c5\u60c5\u7684\u8bc4\u4f30 \u8f6c\u8bca\u524d\u5e94\u6839\u636e\u5b55\u4ea7\u5987\u75c5\u53f2\u3001\u75c7\u72b6\u3001\u4f53\u5f81\u3001\u4e0d\u826f\u5b55\u4ea7\u53f2\u3001\u598a\u5a20\u5408\u5e76\u57fa\u7840\u75be\u75c5\u3001\u598a\u5a20\u5e76\u53d1\u75c7\u3001\u5b9e\u9a8c\u5ba4\u68c0\u67e5\u53ca\u5f71\u50cf\u5b66\u68c0\u67e5\u7b49\u65b9\u9762\u5b8c\u6210\u7efc\u5408\u8bc4\u4f30\u5185\u5bb9\uff0c\u9884\u5224\u53ef\u80fd\u6216\u5373\u5c06\u51fa\u73b0\u7684\u4e34\u5e8a\u5371\u6025\u72b6\u6001\uff0c\u5bc6\u5207\u76d1\u6d4b\u53ca\u65f6\u6709\u6548\u5e72\u9884\u5e76\u79ef\u6781\u505a\u597d\u8f6c\u8bca\u51c6\u5907\uff3b23\uff0c28\uff3d\uff0c\u5b8c\u6210\u7efc\u5408\u8bc4\u4f30\u5185\u5bb9\u89c1\u88684~6\u3002<\/p>\n<\/p>\n
5.2 \u6c9f\u901a\u4e0e\u6587\u4e66 \u533b\u7597\u5355\u4f4d\u95f4\u9ad8\u8d28\u91cf\u7684\u6c9f\u901a\u548c\u4fe1\u606f\u4ea4\u6d41\u662f\u9884\u9632\u8f6c\u8fd0\u4e2d\u4e0d\u826f\u4e8b\u4ef6\u53d1\u751f\u7684\u5fc5\u8981\u6761\u4ef6\uff0c\u4ee5\u5229\u4e8e\u4fc3\u8fdbMNM\u6551\u6cbb\u7684\u8fde\u7eed\u6027\u3002\u4e13\u4eba\u8d1f\u8d23\u5411\u60a3\u8005\u53ca\u5bb6\u5c5e\u8be6\u7ec6\u4ea4\u4ee3\u75c5\u60c5\u3001\u8f6c\u8bca\u8fc7\u7a0b\u4e2d\u53ef\u80fd\u9762\u4e34\u7684\u98ce\u9669\u4e0e\u83b7\u76ca\u53ca\u6cbb\u7597\u8d39\u7528\u3002\u8f6c\u8bca\u542f\u52a8\u540e\uff0c\u8f6c\u51fa\u533b\u9662\u5e94\u6309\u534f\u5546\u540e\u7684\u8f6c\u8fd0\u65b9\u6848\u6267\u884c\u5e76\u7b7e\u7f72\u4e66\u9762\u77e5\u60c5\u540c\u610f\u4e66\uff0c\u7531\u8f6c\u8fd0\u56e2\u961f\u643a\u5e26\u6bcd\u5b50\u5065\u5eb7\u624b\u518c\u3001MNM\u8f6c\u8bca\u5355\uff08\u89c1\u88687\uff09\u53ca\u75c5\u60c5\u4ecb\u7ecd\u81f3\u63a5\u6536\u533b\u9662\u3002\u907f\u514d\u5b55\u4ea7\u5987\u53ca\u5bb6\u5c5e\u81ea\u884c\u8f6c\u8bca\u6216\u8f6c\u8bca\u81f3\u4e0d\u5177\u5907MNM\u62a2\u6551\u6761\u4ef6\u7684\u533b\u9662\uff0c\u5ef6\u8bef\u6551\u6cbb\uff3b21\uff0c27\uff0c29-32\uff3d\uff08\u8bc1\u636e\u8d28\u91cf\uff1aC\uff1b\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09\u3002\u88687 MNM\u8f6c\u8bca\u5355<\/p>\n
5.3 \u8f6c\u8bca\u804c\u8d23 MNM\u5230\u8fbe\u63a5\u6536\u533b\u9662\u524d\uff0c\u8f6c\u51fa\u533b\u9662\u53ca\u533b\u751f\u5bf9MNM\u7684\u6551\u6cbb\u8d1f\u8d23\uff0c\u9664\u975e\u63a5\u6536\u533b\u9662\u4e3b\u52a8\u6d3e\u51fa\u8f6c\u8fd0\u56e2\u961f\u3002\u5404\u5bb6\u533b\u9662\u5728\u8f6c\u8bca\u524d\u3001\u4e2d\u3001\u540e\u671f\u90fd\u5e94\u660e\u786e\u8d23\u4efb\u3002\u8f6c\u8bca\u9014\u4e2d\u7684\u533b\u7597\u5904\u7f6e\u7531\u8f6c\u51fa\u533b\u9662\u8d1f\u8d23\uff0c\u5fc5\u8981\u65f6\u63a5\u6536\u533b\u9662\u53ef\u63d0\u4f9b\u54a8\u8be2\u6307\u5bfc\uff3b24\uff3d\uff08\u8bc1\u636e\u8d28\u91cf\uff1aC\uff1b\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09\u3002<\/p>\n
6 <\/p>\n
\u8f6c\u8bca\u7684\u8f6c\u8fd0\u5b9e\u65bd<\/p>\n
6.1 \u8f6c\u8fd0\u56e2\u961f\u8981\u6c42 \u53c2\u4e0e\u8f6c\u8fd0\u7684\u56e2\u961f\u5fc5\u987b\u7531\u6ee1\u8db3MNM\u6551\u6cbb\u9700\u6c42\u7684\u4e13\u4e1a\u6280\u672f\u4eba\u5458\u7ec4\u6210\uff0c\u4ee5\u4fdd\u969c\u8f6c\u8fd0\u7684\u5b89\u5168\u3002\u9274\u4e8e\u5b55\u4ea7\u5987\u4e34\u5e8a\u8fc7\u7a0b\u7684\u7279\u6b8a\u6027\uff0c\u5efa\u8baeMNM\u7684\u8f6c\u8fd0\u56e2\u961f\u81f3\u5c11\u5305\u62ec1\u540d\u5177\u5907\u6025\u6551\u7ecf\u9a8c\u7684\u533b\u5e08\uff08\u4ea7\u79d1\u3001\u6025\u8bca\u91cd\u75c7\u6216\u8005\u9ebb\u9189\u4e13\u4e1a\uff09\u548c\u5177\u5907\u6025\u6551\u7ecf\u9a8c\u7684\u62a4\u58eb\/\u52a9\u4ea7\u58eb\uff0c\u5982\u75c5\u60c5\u4e25\u91cd\u987b\u589e\u52a0\u5177\u5907\u76f8\u5e94\u8d44\u8d28\u7684\u9ad8\u5e74\u8d44\u4e13\u4e1a\u6280\u672f\u4eba\u5458\u3002\u5f53\u8f6c\u8fd0\u8ddd\u79bb\u8fbe400km\u53ca\u4ee5\u4e0a\u6216\u8f6c\u8fd0\u65f6\u95f4\u8fbe5h\u53ca\u4ee5\u4e0a\u65f6\uff0c\u5efa\u8bae\u5b89\u63922\u540d\u5177\u59075\u5e74\u53ca\u4ee5\u4e0a\u957f\u9014\u51fa\u8f66\u7ecf\u9a8c\u7684\u968f\u8f66\u53f8\u673a\uff0c\u672a\u6765\u53ef\u4ee5\u8003\u8651\u822a\u7a7a\u8f6c\u8fd0\uff3b17\uff0c33-36\uff3d\uff08\u8bc1\u636e\u8d28\u91cf\uff1aA\uff1b\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09\u30026.2 \u8bbe\u5907\u53ca\u836f\u7269\u8981\u6c42 MNM\u9762\u4e34\u5173\u6ce8\u6bcd\u513f\u5065\u5eb7\u7684\u53cc\u91cd\u98ce\u9669\uff0c\u9664\u5e38\u7528\u7684\u6025\u6551\u8bbe\u5907\u3001\u7269\u54c1\u53ca\u836f\u7269\u5916\uff0c\u8f6c\u8fd0\u4e2d\u5fc5\u987b\u914d\u5907\u52a9\u4ea7\u53ca\u65b0\u751f\u513f\u62a2\u6551\u76f8\u5173\u7269\u54c1\uff3b22\uff3d\u3002\u56e0\u4e0d\u540c\u5355\u4f4d\u7684\u50a8\u5907\u836f\u7269\u53ca\u8bbe\u5907\u5b58\u5728\u5dee\u5f02\uff0c\u63a8\u8350\u6025\u6551\u8bbe\u5907\u7269\u54c1\u53ca\u836f\u7269\uff3b21\uff3d\uff08\u89c1\u88688\uff09\uff08\u8bc1\u636e\u8d28\u91cf\uff1aB\uff1b\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09\u3002<\/p>\n
6.3 \u8f6c\u8fd0\u524d\u518d\u6b21\u8bc4\u4f30 \u8f6c\u8fd0\u6d41\u7a0b\u542f\u52a8\u540e\u8f6c\u51fa\u533b\u9662\u53ca\u53c2\u4e0e\u8f6c\u8fd0\u7684\u533b\u5e08\u9700\u518d\u6b21\u8bc4\u4f30\u60a3\u8005\u75c5\u60c5\uff0c\u5c06\u5b55\u4ea7\u5987\u751f\u547d\u4f53\u5f81\u7b49\u7ef4\u6301\u5728\u76f8\u5bf9\u7a33\u5b9a\u7684\u72b6\u6001\uff0c\u82e5\u9884\u5224\u8f6c\u8fd0\u9014\u4e2d\u6709\u8f93\u8840\u3001\u8f93\u6db2\u3001\u673a\u68b0\u901a\u6c14\u7b49\u9700\u6c42\uff0c\u5219\u8981\u5728\u8f6c\u8fd0\u524d\u8fdb\u884c\u9884\u5904\u7406\uff1b\u6838\u5bf9\u8f6c\u8fd0\u8ba1\u5212\uff1b\u786e\u4fdd\u8f6c\u8fd0\u9014\u4e2d\u914d\u5907\u8bbe\u5907\u3001\u7269\u54c1\u5145\u8db3\u3002<\/p>\n
7 <\/p>\n
\u8f6c\u8bca\u5e94\u6025\u7ba1\u7406\u548c\u5904\u7406<\/p>\n
7.1 \u8f6c\u8fd0\u9014\u4e2d\u76d1\u6d4b\u53ca\u5904\u7406 \u533b\u62a4\u4eba\u5458\u9700\u5bc6\u5207\u76d1\u6d4bMNM\u75c5\u60c5\u8fdb\u5c55\uff0c\u5305\u62ec\u8fde\u7eed\u7684\u8840\u538b\u3001\u5fc3\u7387\u53ca\u8840\u6c27\u9971\u548c\u5ea6\u6d4b\u5b9a\u3001\u9002\u65f6\u7ed9\u4e88\u80ce\u5fc3\u76d1\u6d4b\u3001\u5fc3\u7535\u56fe\u7b49\u68c0\u67e5\u3002\u5efa\u8bae\u6bcf15min\u5728\u8f6c\u8fd0\u5355\u4e0a\u4e66\u9762\u8bb0\u5f55\u5b55\u4ea7\u5987\u751f\u547d\u4f53\u5f81\u3001\u80ce\u5fc3\u53d8\u5316\u3001\u5bab\u7f29\u9891\u7387\u7b49\u5404\u9879\u76d1\u6d4b\u6307\u6807\u7ed3\u679c\uff0c\u89c6\u5177\u4f53\u60c5\u51b5\u4e5f\u53ef\u589e\u51cf\uff3b15\uff0c17\uff3d\u3002\u8f6c\u8fd0\u9014\u4e2d\u7684\u7a81\u53d1\u4e8b\u4ef6\u53ca\u5176\u5904\u7406\u63aa\u65bd\u4e5f\u5e94\u8be6\u7ec6\u8bb0\u5f55\u3002\u8f6c\u8fd0\u65f6\u63a8\u8350\u5b55\u4ea7\u5987\u53d6\u5de6\u4fa7\u5367\u4f4d\u6216\u5750\u4f4d\uff0c\u4ee5\u5c3d\u91cf\u51cf\u5c11\u5b50\u5bab\u5bf9\u4e3b\u52a8\u8109\u7684\u538b\u8feb\uff08\u8bc1\u636e\u8d28\u91cf\uff1aB\uff1b\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09\u30027.2 \u8f6c\u8bca\u65f6\u95f4\u63a7\u5236 \u8f6c\u8fd0\u5355\u4f4d\u9700\u7efc\u5408\u8003\u8651\u5929\u6c14\u3001\u8def\u51b5\uff0c\u5408\u7406\u89c4\u5212\u8f6c\u8fd0\u8def\u7ebf\u3002\u5404\u79cd\u72b6\u51b5\u53ef\u80fd\u8010\u53d7\u7684\u8f6c\u8bca\u65f6\u95f4\u8d8a\u77ed\u8d8a\u597d\u3002\uff081\uff09\u5730\u9762\u6551\u62a4\u8f66\u8fd0\u8f93\u9002\u5408\u77ed\u8ddd\u79bb\u8fd0\u8f93\u65b9\u5f0f\u3002\uff082\uff09\u822a\u7a7a\u8f6c\u8fd0\u5177\u6709\u901f\u5ea6\u5feb\u3001\u8ddd\u79bb\u8fdc\u7684\u4f18\u52bf\uff0c\u4f46\u6240\u9700\u8d39\u7528\u6602\u8d35\u3001\u5bf9\u8f6c\u8fd0\u4eba\u5458\u548c\u8bbe\u5907\u8981\u6c42\u9ad8\uff0c\u4e14\u51c6\u5907\u65f6\u95f4\u8f83\u957f\uff0c\u9700\u8003\u8651\u5b9e\u9645\u8282\u7701\u65f6\u95f4\u6709\u9650\uff3b12\uff0c13\uff0c22\uff0c37\uff3d\uff08\u8bc1\u636e\u8d28\u91cf\uff1aC\uff1b\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f31\uff09\u30027.3 \u8f6c\u8bca\u7684\u5e94\u6025\u7ba1\u7406 \u8f6c\u51fa\u533b\u9662\u9488\u5bf9\u8f6c\u8fd0\u4e2d\u7684\u6f5c\u5728\u98ce\u9669\u5236\u5b9a\u5e94\u6025\u5904\u7406\u65b9\u6848\u3002\u82e5\u8f6c\u8fd0\u9014\u4e2d\u51fa\u73b0MNM\u75c5\u60c5\u53d8\u5316\u4ee5\u53ca\u5404\u79cd\u4e0d\u53ef\u6297\u529b\u56e0\u7d20\u5bfc\u81f4\u8f6c\u8fd0\u4e2d\u5904\u7406\u56f0\u96be\uff0c\u5e94\u53ca\u65f6\u6c47\u62a5\u8f6c\u51fa\u533b\u9662\u4e0e\u63a5\u6536\u533b\u9662\uff0c\u5e76\u62a5\u5907\u5f53\u5730\u5987\u5e7c\u4e3b\u7ba1\u90e8\u95e8\u4ee5\u83b7\u5f97\u652f\u6301\uff3b15\uff0c17\uff0c30\uff0c38-39\uff3d\uff08\u8bc1\u636e\u8d28\u91cf\uff1aB\uff1b\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09\u3002<\/p>\n
8 <\/p>\n
\u63a5\u6536\u533b\u9662\u5904\u7406<\/p>\n
8.1 \u542f\u52a8\u5feb\u901f\u53cd\u5e94\u56e2\u961f\uff08rapid response team\uff0cRRT\uff09\u4e0e\u591a\u5b66\u79d1\u8bca\u7597\uff08multi-disciplinary treatment\uff0cMDT\uff09 \u5728\u786e\u5b9a\u542f\u52a8MNM\u8f6c\u8bca\u6d41\u7a0b\u540e\uff0c\u63a5\u6536\u533b\u9662\u5e94\u8fc5\u901f\u7ec4\u5efa\u5e76\u542f\u52a8RRT\uff0c\u901a\u8fc7\u7535\u8bdd\u3001\u89c6\u9891\u53ca\u5fae\u4fe1\u7b49\u5373\u65f6\u901a\u8baf\u8bbe\u5907\u5bf9\u8f6c\u8bca\u60a3\u8005\u75c5\u60c5\u8fdb\u884c\u5168\u9762\u4e86\u89e3\u5e76\u5bf9\u8bca\u7597\u65b9\u6848\u505a\u51fa\u9884\u5224\uff0c\u786e\u4fdd\u5728\u6551\u6cbb\u8fc7\u7a0b\u4e2d\u4e0d\u5ef6\u8bef\u5b9d\u8d35\u65f6\u95f4\uff0c\u6700\u5927\u9650\u5ea6\u5730\u4fdd\u969c\u6bcd\u513f\u751f\u547d\u5b89\u5168\u3002RRT\u7531\u63a5\u6536\u533b\u9662\u4ea7\u79d1\u548c\u4ea7\u5b89\u529e\uff0c\u65b0\u751f\u513f\u3001\u9ebb\u9189\u3001\u91cd\u75c7\u3001\u4ecb\u5165\u3001\u5185\u5916\u79d1\u3001\u9ebb\u9189\u53ca\u65b0\u751f\u513f\u79d1\u7684\u533b\u62a4\u534f\u52a9\u6784\u6210\u3002\u5728\u8f6c\u8fd0\u56e2\u961f\u5230\u8fbe\u524d\u5e94\u505a\u597d\u63a5\u5e94\u6551\u6cbb\u51c6\u5907\uff0c\u5305\u62ec\u6025\u6551\u836f\u7269\u3001\u8bbe\u5907\u3001\u5e8a\u4f4d\u53ca\u76f8\u5e94\u533b\u62a4\u4eba\u5458\u3002\u63a5\u6536\u5355\u4f4d\u533b\u5e08\u5e94\u518d\u6b21\u8be6\u7ec6\u8be2\u95ee\u75c5\u53f2\u3001\u5f53\u524d\u75c5\u60c5\u3001\u65e2\u5f80\u6025\u6551\u5904\u7406\u63aa\u65bd\u3001\u586b\u5199\u8f6c\u8fd0\u4ea4\u63a5\u5355\uff0c\u8bb0\u5f55\u62b5\u8fbe\u65f6\u95f4\u7b49\uff0c\u76f8\u5173\u68c0\u67e5\u5e94\u5728\u6025\u8bca\u62a2\u6551\u5ba4\u5b8c\u5584\uff0c\u4ee5\u51cf\u5c11\u4e0d\u5fc5\u8981\u7684\u9662\u5185\u8f6c\u8fd0\uff0c\u5fc5\u8981\u65f6\u8fdb\u884cMDT\uff3b24\uff0c37\uff0c40-49\uff3d\uff08\u8bc1\u636e\u8d28\u91cf\uff1aA\uff1b\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f3a\uff09\u30028.2 MNM\u9662\u9645\u8f6c\u8bca\u75c5\u60c5\u8bc4\u4f30 \u8fd0\u7528\u75be\u75c5\u4e25\u91cd\u7a0b\u5ea6\u8bc4\u5206\u5224\u65ad\u75c5\u60c5\u7684\u4e25\u91cd\u7a0b\u5ea6\uff0c\u5e38\u7528\u7684\u53c2\u8003\u91cf\u8868\u5305\u62ec\u5e8f\u8d2f\u5668\u5b98\u529f\u80fd\u8870\u7aed\u8bc4\u5206\uff08sequential organ failure assessment\uff0cSOFA\uff09\u3001\u683c\u62c9\u65af\u54e5\u660f\u8ff7\u8bc4\u5206\uff08Glasgow coma scale\uff0cGCS\uff09\u4ee5\u53ca\u6025\u6027\u751f\u7406\u4e0e\u6162\u6027\u5065\u5eb7\u8bc4\u5206\u2161\uff08acute physiology and chronic health evaluation\uff0cAPACHE-\u2161\uff09\u7b49\u3002\u8fd1\u5e74\u6765\u9488\u5bf9MNM\u5e38\u91c7\u7528\u4ea7\u79d1\u6539\u826f\u5f0fSOFA\u8bc4\u5206\uff08obstetrically modified quick sofa score\uff0comqSOFA\uff09\uff0c\u4f46\u5404\u79cdMNM\u9884\u8b66\u8bc4\u5206\u4ecd\u7136\u6709\u5f85\u8fdb\u4e00\u6b65\u4e34\u5e8a\u7814\u7a76\u9a8c\u8bc1\uff3b50-54\uff3d\uff08\u8bc1\u636e\u8d28\u91cf\uff1aC\uff1b\u63a8\u8350\u5f3a\u5ea6\uff1a\u5f31\uff09\u3002<\/p>\n
9 <\/p>\n
\u7ed3\u8bed<\/p>\n
\u63a5\u6536\u533b\u9662\u5e94\u53ca\u65f6\u5c06\u8f6c\u8bca\u7684MNM\u7684\u8bca\u6cbb\u60c5\u51b5\u5229\u7528\u6211\u56fd\u5987\u5e7c\u4fdd\u5065\u533a\u57df\u4e09\u7ea7\u6551\u6cbb\u7f51\u7edc\u53cd\u9988\u7ed9\u8f6c\u51fa\u533b\u9662\u53ca\u7ba1\u7406\u90e8\u95e8\uff0c\u8fdb\u884c\u4fe1\u606f\u53cd\u9988\u3002\u5bf9MNM\u8f6c\u8bca\u4e2d\u5b58\u5728\u7684\u95ee\u9898\u5b9e\u65bd\u6539\u8fdb\u63aa\u65bd\uff0c\u53ca\u65f6\u603b\u7ed3\uff0c\u5236\u5b9a\u6539\u8fdb\u63aa\u65bd\uff0c\u5bf9\u5c1a\u4e0d\u80fd\u6ee1\u8db3\u9662\u9645\u8f6c\u8bca\u9700\u6c42\u7684\u73af\u8282\u52a0\u5f3a\u5efa\u8bbe\u6295\u5165\uff0c\u9010\u6b65\u5efa\u7acb\u66f4\u52a0\u89c4\u8303\u5316\u7684MNM\u9662\u9645\u8f6c\u8bca\u65b9\u6848\u3002 \u5b9a\u671f\u7ec4\u7ec7\u53c2\u4e0e\u8f6c\u8bca\u7684\u5404\u7ea7\u4eba\u5458\uff0c\u5305\u62ec\u533b\u62a4\u3001\u8f6c\u8fd0\u56e2\u961f\u3001\u5f53\u5730\u5987\u5e7c\u7ba1\u7406\u90e8\u95e8\u7ba1\u7406\u4eba\u5458\u7b49\u53c2\u52a0MNM\u8f6c\u8bca\u5b66\u4e60\u57f9\u8bad\uff0c\u660e\u786e\u804c\u8d23\u4fdd\u969c\u5b89\u5168\u3002\u7ba1\u7406\u4eba\u5458\u5e94\u719f\u6089\u8f6c\u8bca\u6d41\u7a0b\u5e76\u79ef\u6781\u914d\u5408\u3001\u534f\u8c03\u8f6c\u8bca\u6d41\u7a0b\u7684\u5feb\u901f\u542f\u52a8\u53ca\u53cd\u9988\u6539\u8fdb\uff1b\u533b\u62a4\u4eba\u5458\u53ca\u8f6c\u8fd0\u56e2\u961f\u5e94\u5168\u9762\u63d0\u5347\u4e34\u5e8a\u6280\u80fd\uff0c\u5305\u62ec\u5b55\u4ea7\u5987\u5371\u91cd\u75c7\u65e9\u671f\u8bc6\u522b\u3001\u8f6c\u8bca\u76f8\u5173\u77e5\u8bc6\u3001\u8f6c\u8fd0\u8fc7\u7a0b\u7684\u89c2\u5bdf\u3001\u6025\u6551\u6280\u80fd\u3001\u8bbe\u5907\u4f7f\u7528\u3001\u5e94\u6025\u80fd\u529b\u7b49\uff0c\u5e76\u5b9a\u671f\u8fdb\u884c\u4e34\u5e8a\u6f14\u7ec3\u3002 \u603b\u4e4b\uff0c\u4fdd\u969cMNM\u8f6c\u8bca\u5b89\u5168\uff0c\u4fc3\u8fdb\u5728\u4e0d\u540c\u533b\u7597\u5355\u4f4d\u6551\u6cbb\u7684\u8fde\u7eed\u6027\uff0c\u5c06\u5b55\u4ea7\u5987\u5371\u91cd\u75c7\u7684\u5904\u7406\u5173\u53e3\u524d\u79fb\uff0c\u4ee5\u5b9e\u73b0\u6781\u65e9\u53d1\u73b0\u3001\u6781\u65e9\u5904\u7406\u7684\u76ee\u6807\uff0c\u89c4\u8303MNM\u9662\u9645\u8f6c\u8bca\u6d41\u7a0b\uff0c\u4fc3\u8fdb\u5404\u73af\u8282\u7684\u6709\u6548\u8854\u63a5\u964d\u4f4e\u8f6c\u8bca\u98ce\u9669\uff0c\u63d0\u9ad8\u4ea7\u79d1\u8d28\u91cf\u4fdd\u969c\u6bcd\u513f\u5b89\u5168\uff0c\u4e3a\u5b8c\u6210WHO\u63d0\u51fa\u76842030\u5e74\u51cf\u5c11\u5b55\u4ea7\u5987\u6b7b\u4ea1\u7684\u76ee\u6807\uff0c\u6211\u4eec\u6c38\u8fdc\u4f1a\u4e0d\u65ad\u52aa\u529b\uff3b48\uff3d\u3002 \u5229\u76ca\u51b2\u7a81\uff1a\u4e13\u5bb6\u7ec4\u6240\u6709\u6210\u5458\u5747\u58f0\u660e\u4e0d\u5b58\u5728\u5229\u76ca\u51b2\u7a81\u3002<\/p>\n
\u53c2\u8003\u6587\u732e<\/p>\n
\uff08\u5728\u6846\u5185\u6ed1\u52a8\u624b\u6307\u5373\u53ef\u6d4f\u89c8\uff09<\/p>\n
\uff3b1\uff3d WHO. Evaluating the quality of care for severe pregnancy complications\uff1athe WHO near-miss approach for maternal health\uff3bJ\uff3d. World Health Organization\uff0c2011\uff1a33.<\/p>\n
\uff3b2\uff3d Say L\uff0cSouza J P\uff0cPattinson RC. Maternal near miss \u2013 towards a standard tool for monitoring quality of maternal health care\uff3bJ\uff3d. Best Pract Res Clin Obstet Gynaecol\uff0c2009\uff0c23\uff083\uff09\uff1a287-296.<\/p>\n
\uff3b3\uff3d Dakin A\uff0cClinton S\uff0cSloan J\uff0cet al. Severe maternal morbidity trends over 20 years in a tertiary referral stand-alone maternity unit\uff3bJ\uff3d. Eur J Obstet Gynecol Reprod Biol\uff0c2023\uff0c283\uff1a136-140.<\/p>\n
\uff3b4\uff3d Say L\uff0cPattinson RC\uff0cG\u00fclmezoglu AM. WHO systematic review of maternal morbidity and mortality\uff1athe prevalence of severe acute maternal morbidity \uff08near miss\uff09\uff3bJ\uff3d. Reproductive Health\uff0c2004\uff0c1\uff081\uff09\uff1a1-5.<\/p>\n
\uff3b5\uff3d Gazeley U\uff0cPolizzi A\uff0cPrieto JR\uff0cet al. The lifetime risk of maternal near miss morbidity in Asia\uff0cAfrica\uff0cthe Middle East\uff0cand Latin America\uff1aa cross-country systematic analysis\uff3bJ\uff3d. Lancet Glob Health\uff0c2024\uff0c12\uff0811\uff09\uff1ae1775-e1784.<\/p>\n
\uff3b6\uff3d \u4e2d\u534e\u533b\u5b66\u4f1a\u56f4\u4ea7\u533b\u5b66\u5206\u4f1a\uff0c\u4e2d\u534e\u533b\u5b66\u4f1a\u5987\u4ea7\u79d1\u5b66\u5206\u4f1a\u4ea7\u79d1\u5b66\u7ec4. \u9ad8\u9f84\u5987\u5973\u5b55\u671f\u7ba1\u7406\u4e13\u5bb6\u5171\u8bc6\uff3bJ\uff3d. \u4e2d\u534e\u56f4\u4ea7\u533b\u5b66\u6742\u5fd7\uff0c2024\uff0c27\uff086\uff09\uff1a441-449.<\/p>\n
\uff3b7\uff3d Lisonkova S\uff0cMuraca GM\uff0cPotts J\uff0cet al. Association between prepregnancy body mass index and severe maternal morbidity\uff3bJ\uff3d. JAMA\uff0c2017\uff0c318\uff0818\uff09\uff1a1777-1786.<\/p>\n
\uff3b8\uff3d Aoyama K\uff0cPinto R\uff0cRay JG\uff0cet al. Association of maternal age with severe maternal morbidity and mortality in Canada\uff3bJ\uff3d. JAMA Netw Open\uff0c2019\uff0c2\uff088\uff09\uff1ae199875-e199875.<\/p>\n
\uff3b9\uff3d Qiao J\uff0cWang YY\uff0cLi XH\uff0cet al. A Lancet Commission on 70 years of women\u2019s reproductive\uff0cmaternal\uff0cnewborn\uff0cchild\uff0cand adolescent health in China\uff3bJ\uff3d. Lancet\uff0c2021\uff0c397\uff0810293\uff09\uff1a2497-2536.<\/p>\n
\uff3b10\uff3d DeSisto CL\uff0cOza-Frank R\uff0cGoodman D\uff0cet al. Maternal transport\uff1aan opportunity to improve the system of risk-appropriate care\uff3bJ\uff3d. J Perinatol\uff0c2021\uff0c41\uff089\uff09\uff1a2141-2146.<\/p>\n
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\uff3b16\uff3d \u56fd\u5bb6\u536b\u751f\u5065\u5eb7\u59d4\u5458\u4f1a\u533b\u653f\u533b\u7ba1\u5c40. \u533b\u7597\u8d28\u91cf\u5b89\u5168\u6838\u5fc3\u5236\u5ea6\u8981\u70b9\u91ca\u4e49\uff3bM\uff3d.\u7b2c2\u7248.\u5317\u4eac\uff1a\u4e2d\u56fd\u4eba\u53e3\u51fa\u7248\u793e\uff0c2023\uff1a1.<\/p>\n
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\u672c\u6587\u520a\u767b\u4e8e\u300a\u4e2d\u56fd\u5b9e\u7528\u5987\u79d1\u4e0e\u4ea7\u79d1\u6742\u5fd7\u300b2025,41(1):88-95 DOI\uff1a1 … \u7ee7\u7eed\u9605\u8bfb