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目的 探讨妊高征并发多器官功能障碍综合征 (MODS)的诱因及治疗。方法 对 9例妊高征并发MODS的临床资料进行回顾性分析。结果 各例均有两个或两个以上系统器官衰竭 ,诱因为剖宫产术、产后大出血、先兆子痫、胎盘早剥、死胎等。经抢救成功 8例 ,死亡 1例 ,死亡率 11%。结论 妊高征并发 MODS的治疗中 ,早期诊断和治疗肾衰及凝血功能障碍 ,加强全身营养支持疗法至关重要。早期预防和诊断妊高征 ,适时终止妊娠 ,消除病因与诱因是减少妊高征并发 MODS发病率的前提
Objective To investigate the causes and treatment of PIH complicated with multiple organ dysfunction syndrome (MODS). Methods Nine cases of PIH complicated with MODS were retrospectively analyzed. Results Each case had two or more systemic organ failure, cesarean section incentives, postpartum hemorrhage, preeclampsia, placental abruption, stillbirth and so on. After the successful rescue in 8 cases, 1 died, the mortality rate of 11%. Conclusions In the treatment of PIH complicated with MODS, the early diagnosis and treatment of renal failure and coagulation dysfunction, and the reinforcement of systemic nutritional support therapy are of paramount importance. Early prevention and diagnosis of pregnancy-induced hypertension, timely termination of pregnancy, the etiology and incentives to eliminate PIH is the premise of reducing the incidence of MODS complicated by MODS