严重产后出血器官功能保护策略  

Organ function protection strategies in severe postpartum hemorrhage

作　　者：李霞林 贺芳[1] LI Xia-lin;HE Fang(Department of Obstetrics and Gynecology,Guangdong Prvincial Key Laboratory of Major Obstetric Diseases,Guangdong Prvincial Clinical Research Center for Obstetrics and Gynecology,Guangdong-Hong Kong-Macao Greater Bay Area Higher Education Joint Iaboratory of Matemal-Fetal Medicine,The Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510150,China)

机构地区：[1]广东省产科重大疾病重点实验室、广东省妇产疾病临床医学研究中心、粤港澳母胎医学高校联合实验室,广州医科大学附属第三医院妇产科,广东广州510150

出　　处：《中国实用妇科与产科杂志》2024年第4期406-409,共4页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：国家重点研发计划(2021YFC2701500)。

摘　　要：严重产后出血是导致孕产妇发生严重并发症的主要原因之一,可直接威胁孕产妇的生命。如何减少可避免的孕产妇死亡,提高孕产妇的整体生活质量,是产科永恒的追求。严重的产后出血可引起组织器官灌注不足、微循环障碍、组织厌氧代谢和细胞损伤,导致多器官功能障碍、衰竭,最终导致死亡。精确评估患者病情,协调多学科治疗团队,实施量身定制的干预措施,优先保护心脏、肾脏、肝脏、免疫系统、凝血和其他重要器官,可以最大限度地降低并发症的风险并保护孕产妇的近、远期健康。Severe postpartum haemorrhage is one of the major maternal health challenges and can pose a direct threat to maternal life.How to reduce avoidable maternal mortality and improve the overall quality of maternal life is the eternal pursuit of obstetrics.Severe postpartum hemorrhage can cause hypoperfusion of tissues and organs,microcirculation disorders,anaerobic metabolism of tissues and cell damage,leading to multi-organ dysfunction,failure,and ultimately mortality.Precise evaluation of the patient′s condition,coordination of a multidisciplinary treatment team,and the implementation of tailored interventions that prioritize the safeguarding of vital organs such as the heart,kidneys,liver,immune system,coagulation,et,can minimize the risk of complications and protect maternal short term and long term health.

关 键 词：严重产后出血 血流动力学 多器官功能保护 

分 类 号：R714.461[医药卫生—妇产科学]