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产科多器官功能衰竭病例分析13例

2017-09-18 6 侵权/举报
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产科多器官功能衰竭病例分析13例

产科多器官功能衰竭13例病例分析

卡盟www.suyoukm.ekas.cn

探讨产科多器官功能衰竭的早期临床诱因、诊断及处理。方法:对我院收治的13例产科多

器官功能衰竭患者的临床资料进行回顾分析,找出其发病原因、临床症状及治疗结果。结果:

导致产科多器官功能衰竭的主要原因是产后出血、子痫及先兆子痫,13例患者发生肺衰10

例次,肾衰8例次,心衰7例次,胃肠功能障碍3例次,血液系统障碍5例次,神经系统功

能障碍2例次,肝衰1例次。发生2个器官衰竭的9例患者均抢救成功,3个以上器官衰竭

4例,存活3例,治愈率高达92.31%。结论:处理单一器官功能衰竭,积极处理原发病,尽

量减少多个器官衰竭的发生几率。

关键词:多器官功能衰竭,产后出血,妊娠并发症,临床分析

A clinical analysis of 13 cases of multiple organ failure in obstetrics Abstract:Objective:To investigate inductive factors,clinical diagnosis and

treatment of multiple organ failure in obstetrics(Methods:The clinical data of


13 cases of multiple organ failure in obstetrics were studied retrospectively,to find out its causes, clinical symptoms and treatment outcomes.Results:Lead to

multiple organ failure in obstetrics is mainly due to postpartum hemorrhage, eclampsia and pre-eclampsia, 13 patients developed 10 cases of pulmonary, 8 cases of renal failure times, 7 cases of heart failure, gastrointestinal dysfunction 3 cases , blood system disorder 5 cases,, nervous system dysfunction 2 cases, liver failure 1 case times. Place two of the 9 patients with organ failure were rescued successfully more than 3 organ failure in 4 cases, survival in 3 cases, the cure rate as high as 92.31%.Conclusion: Processing a single organ failure, and actively deal with the original disease, to minimize the risk of the occurrence of multiple organ failure.

Key words:multiple organ failure, postpartum hemorrhage, pregnancy complications, clinical analysis

多器官功能衰竭(multiple organ failure,MOF) 是指在机体损害24小时之后,两个或两

个以上的器官在短时间内以连锁或累加的形式,相继发生功能衰竭的一种临床综合征。多器

官功能衰竭是近年急救医学领域中所研究的一个新的课题,是在近代医学中出现的临床综合

[1]征,是现代危重病中的一大难题。其病死率高达70%,羊水栓塞、产后出血以及妊娠高血


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