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[目的 ]探讨妊娠合并多脏器功能衰竭 (MSOF)的致病因素、对母婴的影响及防治方法。 [方法 ]分析 15例妊娠合并 MSOF的临床资料、诊断标准、治疗方法。 [结果 ]妊娠合并 MSOF是一种后果恶劣的妊娠综合征。本文 15例中死亡 5例 ,病死率为 33.3% ,围产儿死亡 7例 (7/ 16 ) ,死亡率为 437.5‰。 [结论 ]妊娠合并 MSOF是孕产妇和围产儿死亡的主要原因 ,应加强围产期的系统管理 ,高危孕产妇应及时转诊。对 MSOF的治疗应针对病因 ,及时去除或减少引起 MSOF的诱因 ,如出血、感染、子痫等 ,阻止过强的应激反应 ,使 MSOF不发生或程度减轻 ,对妊娠合并征、并发症在产前出现主要脏器功能损害 ,应果断终止妊娠 ,减少继续妊娠对母体的损害。对患者应加强监护 ,注意支持和对症治疗及人工器官如人工呼吸机、血液透析等的应用。
[Objective] To explore the causative factors of pregnancy complicated with multiple organ failure (MSOF), its effects on maternal and infant and its prevention and treatment. [Methods] The clinical data, diagnostic criteria and treatment of 15 cases of pregnancy complicated with MSOF were analyzed. [Results] Pregnancy associated with MSOF was a severe pregnancy syndrome. In this paper, 5 cases were killed in 5 cases, the case fatality rate was 33.3%, perinatal death in 7 cases (7/16), the mortality rate was 437.5 ‰. [Conclusion] Pregnancy combined with MSOF is the main cause of maternal and perinatal deaths. Systemic management of perinatal period should be strengthened and high-risk pregnant women should be promptly referred. The treatment of MSOF should be for the cause, promptly remove or reduce the cause of MSOF causes such as bleeding, infection, eclampsia, etc., to prevent excessive stress response, so that MSOF does not occur or reduce the extent of complications of pregnancy, complications in Prenatal dysfunction of major organs, should be decisive termination of pregnancy, reduce the continuation of pregnancy on the maternal damage. Patients should be strengthened monitoring, attention to support and symptomatic treatment and artificial organs such as respirators, hemodialysis applications.