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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 ,是减少产科MOF患者死亡的关键
Objective To investigate the clinical diagnosis and treatment of obstetric and multiple organ failure (MOF). Methods The clinical data of 38 patients with MOF from 1998 to 2003 were retrospectively reviewed. The causes of the disease and the diagnosis and treatment of organ and obstetric MOF were analyzed retrospectively. 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 The timely treatment of the etiology of MOF, active treatment of PIH and postpartum hemorrhage, early diagnosis and treatment of renal failure and coagulation disorders are the key to reduce the mortality of obstetric MOF patients