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目的:探讨妊娠期高血压疾病并发多器官功能障碍综合征(MODS)的诱因。方法:对25例妊娠期高血压疾病并发MODS患者的临床资料进行回顾性分析。结果:25例均有2个或2个以上系统器官功能障碍或衰竭,诱因为产后出血、胎盘早剥、HELLP综合征、严重低蛋白血症伴腹水等。孕产妇抢救成功20例,死亡5例,死亡率20%。结论:妊娠期高血压疾病并发MODS的救治中,早期发现、早期治疗原发病,消除病因与诱因是降低妊娠期高血压疾病并发MODS发病率的前提。对功能障碍器官进行早期全面的支持治疗,有望降低孕产妇死亡率。
Objective: To investigate the causes of hypertensive disorder complicating multiple organ dysfunction syndrome (MODS) during pregnancy. Methods: The clinical data of 25 patients with MODS complicating pregnancy-induced hypertension were retrospectively analyzed. Results: All 25 patients had 2 or more systemic organ dysfunction or failure. The causes were postpartum hemorrhage, placental abruption, HELLP syndrome, severe hypoproteinemia with ascites and so on. Maternal rescue success in 20 cases, 5 patients died, the mortality rate of 20%. Conclusion: In the treatment of hypertensive disorders complicated with MODS during pregnancy, early detection and early treatment of the primary disease and elimination of the causes and causes are the prerequisites for reducing the incidence of MODS complicated with hypertensive disorder complicating pregnancy. Early supportive treatment of dysfunctional organs is expected to reduce maternal mortality.