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目的探讨产科多器官功能衰竭(MOF)的诊断及处理。方法通过回顾性总结2002-2007年间28例MOF的临床资料,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、肾功能衰竭、心力衰竭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、胎盘早剥、产后出血等,早期诊断和治疗肾功能衰竭及凝血功能障碍,是减少产科MOF患者死亡的关键。
Objective To investigate the diagnosis and treatment of obstetric and multiple organ failure (MOF). Methods By retrospectively summarizing the clinical data of 28 cases of MOF from 2002 to 2007, the causes of the disease and the diagnosis and treatment measures of organ and obstetric MOF were analyzed. Results The main causes of MOF were severe PIH, placental abruption, postpartum hemorrhage and amniotic fluid embolism. Coagulation disorders, renal failure, heart failure and brain failure are common initiators. Conclusion It is the key to reduce the morbidity of obstetric MOF by treating the etiology of MOF in time, actively treating PIH, placental abruption, postpartum hemorrhage and so on. Early diagnosis and treatment of renal failure and coagulation dysfunction.