孕产妇危重症并发多器官功能衰竭临床分析

Clinical analysis of multiple organ failure in the critical pregnant women

目的探讨产科多器官功能衰竭临床诊断与处理。方法回顾性总结 12例多器官功能衰竭病例的临床资料 ,分析发病原因。结果 12例多器官功能衰竭诱因为重度妊高征、胎盘早剥、产后出血、子宫破裂、产褥感染。 6例死亡 ,病死率 5 0 %。结论治疗和预防原发病 ,积极去除病因 ,是降低多器官功能衰竭病死率的关键。

Objective To explore the clinical diagnosis and management of multiple organ failure(MOF) in the prognant women. Methods 12 cases of MOF in the pregnant women were retrospectively summarized and analyzed for the etiology. Results 12 MOF cases resulted from critical pregnant hypertension, placenta abruption, postpartum hemorrhage, uterine rupture and puerperal infection. 6 cases died and the fatality rate was 50%. Conclusion The key to lowering the fatality rate of MOF is to prevent and treat the primary diseases and remove the etiology.