产科多器官功能衰竭38例临床分析

Clinical analysis of 38 cases of the multiple organ failure in obstetrics

目的 探讨产科多器官功能衰竭 (MOF)的临床诊断及处理。方法 通过对 1 988～ 2 0 0 3年间 38例MOF的临床资料回顾性总结 ,分析其发病原因、启动器官和产科MOF的诊断及治疗措施。结果 导致MOF的主要原因是重度妊高征、胎盘早剥、产后出血、羊水栓塞。凝血功能障碍、肾衰、心衰及脑功能衰竭是常见的启动器官。结论 及时处理MOF的病因 ,积极治疗妊高征及产后出血 ,早期诊断和治疗肾衰及凝血功能障碍 。

Objective To discuss the clinical diagnosis of and treatment for the multiple organ failure in obstetrics.Methods We retrospectively analyzed 38 cases of multiple organ failure in obstetrics between 1988 and 2003,including the causes,the ‘motor’ of MOF and the clinical diagnosis,prevention and treatment.Results Severe PIH,postparturn hemorrhage,placenta abruption and amniotic fluid embolism were the major factors leading to MOF.The blood coagulation dysfunction,renal failure,heart failure and brain failure was the most common ‘motor’ of MOF.Conclusion The key point in decreasing the mortality of MOF in obstetrics is to treat the severe PIH and postpartum hemorrhage promptly,in addition,identify and treat the blood coagulation dysfunction and renal failure early.