产科多器官功能衰竭15例临床分析  

The clinical analysis of 15 cases of the multiple organ failure in obstetrics.

作　　者：王谢桐[1] 李长忠[1] 陈延琴[1] 李梁[1] 

机构地区：[1]山东省立医院妇产科,济南250021

出　　处：《中国实用妇科与产科杂志》2002年第6期339-341,共3页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的　对产科多器官功能衰竭 (MOF)的临床诊断及处理进行探讨。方法　通过对 1 5例MOF的临床资料回顾性总结 ,分析了其发病原因、启动器官、各个器官衰竭的发生频度和产科MOF的诊断及防治措施。结果　导致MOF的主要因素为重度妊高征及产后出血。器官衰竭以肾功能衰竭最为多见 ,凝血功能障碍、肾衰及脑功能衰竭是常见的启动器官。结论　及时处理MOF的病因 ,积极治疗妊高征及产后出血 ,早期诊断和治疗肾衰及凝血功能障碍 ,阻断MOF发病的序贯过程 。Objective To discuss the clinical diagnosis and treatment for the multiple organ failure in obstetrics.Methods After reviewing 15 cases of the multiple organ failure in obstetrics,we analysed the etiological factors of MOF,the 'motor' of MOF,and the failure frequency of each organ.In addition,the clinical diagnosis,prevention and treatment were also analyzed.Results Severe PIH and postpartum hemorrhage were the major factors that led to MOF.The renal failure was the most common organ failure.The blood coagulation dysfunction,renal failure and brain failure were the common 'motors' of MOF.Conclusion The key to decrease the mortality rate of MOF in obstetrics is to treat the severe PIH and postpartum hemorrhage promptly and to diagnose and treat the blood coagulation dysfunction and renal failure early so as to block the sequential processes of organ failure.

关 键 词：临床分析 多器官功能衰竭 妊娠并发症 诊断 治疗 

分 类 号：R714.25[医药卫生—妇产科学]