目的:为降低孕产妇死亡率采取有效干预措施提供科学依据。方法:对河南省1996~2010年间186例妊娠期高血压疾病(HDCP)死亡病例进行回顾性分析。结果:HDCP死亡率呈下降趋势,由1996年占总死亡数29.41%降至2010年12.70%。186例孕产妇死亡评审结果:可避免死亡102例,创造条件可避免死亡61例,不可避免死亡23例。城乡分布:农村160例,城市26例。结论:HDCP的死亡与保健意识,经济收入水平,居住地区等密切相关,提示及早发现,及早治疗,大力提高基层医务人员的技术水平,加强各级医院的急救能力,加大基层产科建设,规范HDCP治疗及转诊制度,进一步降低HDCP死亡率。 Objective: To provide scientific basis for effective interventions to reduce maternal mortality. Methods: A retrospective analysis of 186 deaths from hypertensive disorders of pregnancy (HDCP) in Henan Province from 1996 to 2010 was conducted. Results: The mortality rate of HDCP showed a downward trend, from 29.41% of the total deaths in 1996 to 12.70% in 2010. 186 cases of maternal death review results: to avoid 102 cases of death, to create conditions to avoid death in 61 cases, inevitable death in 23 cases. Distribution of urban and rural areas: rural 160 cases, urban 26 cases. Conclusions: The death of HDCP is closely related to the awareness of health care, economic income and living area, which prompts early detection and early treatment. It greatly improves the technical level of grassroots medical personnel, strengthens the emergency rescue capabilities of hospitals at all levels, increases the obstetric construction at the grassroots level, HDCP treatment and referral system to further reduce HDCP mortality.