妊娠高血压综合征并发多器官功能障碍综合征9例临床分析

Clinical analysis of 9 cases of pregnancy-induced hypertension complicated multiple organ dysfunction syndrome

目的 探讨妊高征并发多器官功能障碍综合征 (MODS)的诱因及治疗。方法 对 9例妊高征并发MODS的临床资料进行回顾性分析。结果 各例均有两个或两个以上系统器官衰竭 ,诱因为剖宫产术、产后大出血、先兆子痫、胎盘早剥、死胎等。经抢救成功 8例 ,死亡 1例 ,死亡率 11%。结论 妊高征并发 MODS的治疗中 ,早期诊断和治疗肾衰及凝血功能障碍 ,加强全身营养支持疗法至关重要。早期预防和诊断妊高征 ,适时终止妊娠 ,消除病因与诱因是减少妊高征并发

Objective\ To investigate the inductive factors and the treatment methods of pregnancy induced hypertension(PIH)complicated multiple organ dysfunction syndrome(MODS).Methods\ The clinical data of nine cases with PIH complicated MODS were analyzed retrospectively.Results\ There were two or more organs or systems function failure in all these cases,induced by caesarean,postpartum massive hemorrhage,preeclampsia,placenta abruption,fetal death.Among them,8 cases were successfully treated and 1 died(mortality was 11%).Conclusion\ During the treatment of PIH complicated MODS,it is important to diagnose and treat renal failure and the blood coagulation dysfunction early,intensify the supportive therapy.It is premise of decrease incidence of PIH complicated MODS to prevent and diagnose of PIH early,terminate pregnancy in time,eliminate the cause and inducement.