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回顾性分析了12例重度妊娠高血压综合征(妊高征)继发多脏器功能衰竭(MOF)孕产妇的母儿结局。结果发现:重度妊高征继发MOF的发生率为0.90‰,孕产妇病死率为83.30%(10/12),围产儿因引产、早产、宫内生长迟缓(IUGR)病死率为83.30%(10/12),脏器衰竭中以肺功能衰竭居首位,衰竭脏器数越多,孕产妇死亡率越高。表明对于重度妊高征的治疗应重点在于适时终止妊娠,防止诱发MOF,早期支持各重要脏器功能,防止向MOF发展。
Retrospective analysis of 12 cases of severe pregnancy induced hypertension (PIH) secondary to multiple organ failure (MOF) maternal and child outcomes. The results showed that: the incidence of secondary pregnancy induced by severe PIH was 0.90 ‰, and the mortality rate of pregnant women was 83.30% (10/12). The perinatal mortality rate due to induced labor, premature labor and intrauterine growth retardation (IUGR) 83.30% (10/12). In the group of organ failure, pulmonary failure ranked the first. The more the number of organ failure, the higher the maternal mortality rate. That the treatment of severe pregnancy-induced hypertension should focus on timely termination of pregnancy to prevent the induction of MOF, early support for the function of various important organs to prevent the development of MOF.