产科多器官功能衰竭17例临床分析  

Clinical analysis of 17 cases of multiple organ failure in obstetrics.

作　　者：朱旭雯[1] 黎平[1] 张燕玲[1] 陈绮雯[1] 

机构地区：[1]广东省江门市中心医院妇产科,529030

出　　处：《中国综合临床》2009年第3期324-326,共3页Clinical Medicine of China

摘　　要：目的探讨产科患者多器官功能衰竭（MOF）的临床诊断及处理。方法对17例MOF病例的临床资料进行回顾性分析。结果17例多器官功能衰竭的主要诱因是产后出血、重度妊娠期高血压疾病、羊水栓塞、胎盘早剥。器官功能障碍以凝血功能障碍及肾功能衰竭为最多见。8例死亡，病死率47．06％。结论预防和治疗原发病，积极去除病因，早期诊断及治疗凝血功能障碍及肾功能衰竭，是降低MOF病死率的关键。Objective To explore the clinical diagnosis and treatment of multiple organ failure （MOF） in obstetrics. Methods 17 cases of MOF in obstetrics were studied retrospectively. Results Postpartum hemorrhage, severe reguancy-induced hypertension syndrome （PIH）, amniotic fluid embolism, and placental abruption were the major factors leading to MOF from the 17 cases. The blood coagulation dysfunction and the renal failure were the most common organ dysfunction. 8 eases died and the fatality rate was 47.06%. Conclusion The key to lowering the fatality rate of MOF is to prevent and treat the primary diseases, diagnose and treat blood coagulation dysfunction and renal failure early.

关 键 词：多器官功能衰竭 产后出血 妊娠期高血压疾病 羊水栓塞 胎盘早剥 

分 类 号：R714[医药卫生—妇产科学] R459.7[医药卫生—临床医学]