中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2009年
3期
324-326
,共3页
朱旭雯%黎平%张燕玲%陈绮雯
硃旭雯%黎平%張燕玲%陳綺雯
주욱문%려평%장연령%진기문
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
多器官功能衰竭%產後齣血%妊娠期高血壓疾病%羊水栓塞%胎盤早剝
다기관공능쇠갈%산후출혈%임신기고혈압질병%양수전새%태반조박
Multiple organ failure%Postpartum hemorrhage%Pregnancy-induced hypertension syndrome%Amniotic fluid embolism%Placental abruption
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.
目的 探討產科患者多器官功能衰竭(MOF)的臨床診斷及處理.方法 對17例MOF病例的臨床資料進行迴顧性分析.結果 17例多器官功能衰竭的主要誘因是產後齣血、重度妊娠期高血壓疾病、羊水栓塞、胎盤早剝.器官功能障礙以凝血功能障礙及腎功能衰竭為最多見.8例死亡,病死率47.06%.結論 預防和治療原髮病,積極去除病因,早期診斷及治療凝血功能障礙及腎功能衰竭,是降低MOF病死率的關鍵.
목적 탐토산과환자다기관공능쇠갈(MOF)적림상진단급처리.방법 대17례MOF병례적림상자료진행회고성분석.결과 17례다기관공능쇠갈적주요유인시산후출혈、중도임신기고혈압질병、양수전새、태반조박.기관공능장애이응혈공능장애급신공능쇠갈위최다견.8례사망,병사솔47.06%.결론 예방화치료원발병,적겁거제병인,조기진단급치료응혈공능장애급신공능쇠갈,시강저MOF병사솔적관건.
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 regnancy-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 cases 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.
