目的 对入住重症监护病房（ICU）重症孕产妇患者的病种特征和住院费用进行分析。方法 从医院信息管理系统中搜索2009—2019年广州市某省级重症孕产妇救治中心ICU的重症孕产妇住院病例,对病例资料进行描述性流行病学分析。结果 2009—2019年该救治中心ICU共收治重症孕产妇1 616例,病种排名前五位依次为心血管疾病430例（26.61%）、血液及造血器官疾病310例（19.18%）、妊娠期特定并发疾病287例（17.76%）、消化系统疾病218例（13.49%）、呼吸系统疾病110例（6.81%）。患者经济负担中位数排名前五位依次为肌肉骨骼系统和结缔组织疾病（62 252.60元）、消化系统疾病（61 684.41元）、感染性疾病（42 945.70元）、血液及造血器官疾病（40 403.52元）、神经系统疾病（40 055.93元）。结论 入住ICU内的重症孕产妇以心血管疾病、血液及造血器官疾病为主,经济学分析表明肌肉骨骼系统和结缔组织疾病造成的经济损失较大。

Objective To analyze the disease characteristics and hospitalization expenses of critically ill maternal patients in intensive care unit（ICU）．Methods Hospitalized cases of severe maternal disease in ICU of a provincial critical care center in Guangzhou from 2009 to 2019 were searched from the hospital information management system,and case data was analyzed by descriptive epidemiology．Results From 2009 to 2019,a total of 1616 critically ill maternal patients received intensive care treatment at this center．The predominant diseases observed were cardiovascular disorders（26.61%）,blood and hematopoietic organ diseases（19.18%）,specific pregnancy-related complications（17.76%）,gastrointestinal ailments（13.49%）,and respiratory disorders（6.81%）．Among the top five patient groups,the median economic burden was the highest in musculoskeletal system and connective tissue diseases（62 252.600 yuan）,followed by digestive system diseases（61 684.410 yuan）,infectious diseases（42 945.700 yuan）,blood and hematopoietic organ diseases（40 403.515 yuan）,and nervous system disorders（40 055.930 yuan）．Furthermore,a discernible correlation between hospitalization cost and length of stay was identified．Conclusions Cardiovascular diseases and disorders of blood and hematopoietic organs are the primary causes for maternal admissions to ICU．Economic analysis shows that musculoskeletal system and connective tissues diseases cause bigger economic loss ．

        目的   对入住重症监护病房（ICU）重症孕产妇患者的病种特征和住院费用进行分析。方法   从医院信息管理系统中搜索2009—2019年广州市某省级重症孕产妇救治中心ICU的重症孕产妇住院病例，对病例资料进行描述性流行病学分析。结果  2009—2019年该救治中心ICU共收治重症孕产妇1 616例，病种排名前五位依次为心血管疾病430例（26.61%）、血液及造血器官疾病310例（19.18%）、妊娠期特定并发疾病287例（17.76%）、消化系统疾病218例（13.49%）、呼吸系统疾病110例（6.81%）。患者经济负担中位数排名前五位依次为肌肉骨骼系统和结缔组织疾病（62 252.60元）、消化系统疾病（61 684.41元）、感染性疾病（42 945.70元）、血液及造血器官疾病（40 403.52元）、神经系统疾病（40 055.93元）。结论   入住ICU内的重症孕产妇以心血管疾病、血液及造血器官疾病为主，经济学分析表明肌肉骨骼系统和结缔组织疾病造成的经济损失较大。

       Objective  To analyze the disease characteristics and hospitalization expenses of  severe maternal patients in intensive care unit（ICU）．Methods  Hospitalized cases of severe maternal disease in  ICU of a provincial critical care center in Guangzhou from 2009 to 2019 were searched from the hospital information management system，and case data was analyzed by descriptive epidemiology．Results  From 2009 to 2019，a total of  1616 critically ill maternal  patients  received intensive care treatment at this center．The predominant diseases observed were cardiovascular disorders（26.61%），blood and hematopoietic organ diseases（19.18%），specific pregnancy-related complications（17.76%），gastrointestinal ailments（13.49%），and respiratory disorders（6.81%）．Among the top five patient groups，the median economic burden was the highest in musculoskeletal system and connective tissue diseases（62 252.600 yuan），followed by digestive system diseases（61 684.410 yuan），infectious diseases（42 945.700 yuan），blood and hematopoietic organ diseases（40 403.515 yuan），and nervous system disorders（40 055.930 yuan）Furthermore，a discernible correlation between hospitalization cost and length of stay was identified．Conclusions  Cardiovascular diseases and disorders of blood and hematopoietic organs are the primary causes for maternal admissions to ICU．Economic analysis shows that musculoskeletal system and connective tissues diseases cause bigger economic loss ．