摘要
目的 :探讨产科危重症合并多系统器官功能障碍综合征 (MODS)与母婴结局的关系 ,以提高产科危重症合并MODS的救治水平。方法 :对 4 8例产科危重症按 1995年重修MODS疾病评分标准进行诊断分析 ,并行多学科综合监护和救治。结果 :4 8例产科危重症 ,产妇死亡 12例 (2 5 .0 % ) ,围生儿死亡 14例 (2 9.17% ) ,母、婴病死率随脏器衰竭数目的增加而增加 (P <0 .0 0 5 ,P <0 .0 5 ) ,与终止妊娠的方式无关 ;围生儿死亡与终止妊娠的时机有关 ,孕周越小病死率越高(P <0 .0 0 5 )。结论 :产科危重症合并MODS的母婴死亡率高 ,抢救难度大 ,采用MODS评分进行产科危重症监护 ,结合产科处理与多学科综合救治方法 ,有利于提高临床监护效果 。
Objective: To study the relations between multiple organ dysfunction syndrome (MODS) in the obstetric severe diseases and the pregnancy outcome, for improving the efficacy of the treatment in the obstetrics severe diseases. Methods: In 48 cases of the obstetric severe diseases with MODS, the diagnosis and analysis were made according to 1995 modified MODS score criterion. The relation between the MODS severe degree and its final gestation outcome was researched. Results: In 48 cases of the obstetric severe diseases with MODS, twelve developed maternal death (25.0%), and fourteen perinatal death (29.17%). The mortality of the mother and their natal increased with the increased number of organ failure (P<0.005, P<0.05). There had no relations with the way to terminate gestation; Perinatal death associated with the opportunity of terminating gestation, the small the pregnancy week was, the higher the mortality was (P< 0.005). Conclusions: MODS score and systemic treatments may be effective in the monitoring and rescueing of the obstetric severe diseases, beneficial to the clinical monitoring in exaltation result with the prevention and cure positive, improve successful rate of the saving managments.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2004年第4期215-216,共2页
Journal of Practical Obstetrics and Gynecology
关键词
产科
妊娠
多系统器官功能障碍综合征
Obstetrics
Pregnancy
Multiple organ dysfunction syndromes
