妊娠期高血压疾病并发多器官功能障碍综合征25例分析  

Analysis on 25 cases with hypertensive disorder complicating pregnancy combined with multiple organ dysfunction syndrome

作　　者：程亚楠[1] 李敏[1] 梁艳[1] 

机构地区：[1]贵州省贵阳市妇幼保健院妇产科,550003

出　　处：《中国妇幼保健》2014年第13期1996-1998,共3页Maternal and Child Health Care of China

基　　金：贵州省自然科学研究项目〔12B890017〕

摘　　要：目的:探讨妊娠期高血压疾病并发多器官功能障碍综合征(MODS)的诱因。方法:对25例妊娠期高血压疾病并发MODS患者的临床资料进行回顾性分析。结果:25例均有2个或2个以上系统器官功能障碍或衰竭,诱因为产后出血、胎盘早剥、HELLP综合征、严重低蛋白血症伴腹水等。孕产妇抢救成功20例,死亡5例,死亡率20%。结论:妊娠期高血压疾病并发MODS的救治中,早期发现、早期治疗原发病,消除病因与诱因是降低妊娠期高血压疾病并发MODS发病率的前提。对功能障碍器官进行早期全面的支持治疗,有望降低孕产妇死亡率。Objective： To explore the inductive factors of hypertensive disorder complicating pregnancy （HDCP） combined with multiple organ dysfunction syndrome （MODS） . Methods： The clinical date of twenty- five cases with HDCP combined with MODS were analyzed retrospectively. Results： All the 25 patients were diagnosed as MODS, the inductive factors were postpartum hemorrhage, placenta abruption, HELLP syndrome, severe hypoproteinemia and edema; 20 cases were successfully rescued and 5 cases died, the mortality rate was 20%. Conclusion： During the rescue of patients with HDCP combined with MODS, early detection, early treatment of primary disea- ses, eliminating etiological factors and inductive factors are the premise to reduce the incidence rate of HDCP combined with MODS ; it is ex- pected to reduce maternal mortality by conducting comprehensive supportive treatment early for those with MODS.

关 键 词：妊娠期高血压疾病 子痫前期 多器官功能障碍综合征 治疗 

分 类 号：R714.252[医药卫生—妇产科学]