摘要
目的:探讨妊高征并发多脏器功能障碍(MODS)的诱因及防治。方法:对52例妊高征并发MODS的临床资料进行回顾性分析。结果:52例均存在2个或2个以上器官或系统的功能障碍,导致MODS的主要因素为重度妊高征并发产后出血及胎盘早剥。器官功能障碍以肾脏为最多,肺和凝血功能障碍也是常见的启动器官。结论:妊高征并发MODS处理的关键在于治疗原发病,控制诱因。降低产科MODS死亡率主要在于适时终止妊娠,严密的动态监测,早期的干预治疗。
Objective： To investigate the inductive factors, the prevention and treatment methods of pregnancy induced hypertension（PIH）complieated multiple organ dysfunction syndrome（MODS）. Methods：52 PIH complicated MODS were analyzed retrospectively. Results： There were 2 or more organs or systems were dysfunction in all these cases. Severe PIH complicated postpartum hemrrhage and placenta abruption were the major factors that led to MODS. Kidney was the major common organ failture, the respiratory dysfunction ,blood coagnlation dysfunction were the common＂motors＂ of MODS, Among them 38 cases （73%） were suc eessfully treated and 14 died （mortality was 26. 9%）. Conclusion：During the treatment of PIH complicated MODS, the key is to treat the primary diseases,to control is to treat precipitator. It is the mostly important for terminate pregnancy in time, continuous clinical monitoring and early treating toreduce the rate of death of PIH complicated MODS.
出处
《中国临床医学》
北大核心
2006年第1期114-116,共3页
Chinese Journal of Clinical Medicine
关键词
妊娠期高血压疾病
多器官功能障碍
预防
治疗
Pregnancy induced hypertension
Mutliple organ dysfunetion syndrome
Prevention
Treatment
