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目的 了解孕产妇合并多脏器功能衰竭 (MOF)发病的诱因及治疗结局。方法 采用回顾性分析方法对 2 0例妊娠合并MOF病例进行分析。结果 2 0例MOF中 8例死亡 ,病死率 4 0 % ,其中产科救治的 7例全部死亡 ,经产科与ICU共同救治的 13例中 1例死亡。MOF发生的产科疾病主要是产后出血、重度妊高征及妊娠合并急性脂肪肝。结论 在妊娠合并MOF的治疗中 ,产科与ICU联合实施救治能降低孕产妇的病死率。
Objective To understand the causes and treatment outcomes of maternal morbidity associated with multiple organ failure (MOF). Methods A retrospective analysis of 20 cases of pregnancy complicated with MOF cases were analyzed. Results Eighty patients died of MOF in 20 cases, with a mortality rate of 40%. All 7 obstetric patients died and 13 of 13 patients died of obstructive pulmonary disease. Obstetric diseases MOF occurs mainly postpartum hemorrhage, severe pregnancy-induced hypertension and pregnancy complicated with acute fatty liver. Conclusion In the treatment of pregnancy complicated with MOF, obstetric and ICU joint treatment can reduce maternal mortality.