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应用连续性静脉-静脉血液滤过救治孕产妇合并多脏器功能障碍综合征的临床研究
引用本文:许红雁,张魁正,范舒舒,黄志锋,刘素云. 应用连续性静脉-静脉血液滤过救治孕产妇合并多脏器功能障碍综合征的临床研究[J]. 中国全科医学, 2006, 9(14): 1187-1188
作者姓名:许红雁  张魁正  范舒舒  黄志锋  刘素云
作者单位:1. 512025,广东省韶关市粤北人民医院妇产科
2. 512025,广东省韶关市粤北人民医院肾内科
摘    要:目的总结连续性静脉-静脉血液滤过(CVVH)救治重症孕产妇合并多脏器功能障碍综合征(MODS)的临床经验。方法收集合并多器官功能障碍综合征的重症孕产妇的临床资料,回顾性分析治疗方法及并发MODS的原因及CVVH治疗的效果。结果并发MODS的产科原因分别为重度妊高征、产后出血等。采用CVVH治疗的6例MODS孕产妇中治愈3例,死亡3例,死亡患者均存在凝血功能障碍。结论在妊娠合并MODS的治疗中,除针对病因及对症治疗外,CVVH是有效的辅助治疗手段。

关 键 词:妊娠并发症  多器官功能衰竭  连续性静脉-静脉血液滤过
文章编号:1007-9572(2006)14-1187-02
收稿时间:2006-04-24
修稿时间:2006-04-24

Clinical Study of Applying Continuous Vein-vein Hemofiltration to the Women with Multiple Organ Dysfunction Syndrome in High Risk Pregnancy
XU Hong - yan,ZHANG Kui - zheng, FAN Shu - shu, et al,. Clinical Study of Applying Continuous Vein-vein Hemofiltration to the Women with Multiple Organ Dysfunction Syndrome in High Risk Pregnancy[J]. Chinese General Practice, 2006, 9(14): 1187-1188
Authors:XU Hong - yan  ZHANG Kui - zheng   FAN Shu - shu   et al  
Abstract:Objective To summarize the clinical experience of applying continuous vein-vein hemofiltration (CVVH) to the women with multiple organ dysfunction syndrome (MODS) in high risk pregnancy.Methods The clinical data of the women in high risk pregnancy with multiple organ dysfunction syndrome (MODS) were analyzed retrospectively.Results The causes of MODS were serious pregnancy,postpartum hemorrhage and so on.Three cases with MODS in 6 cases were cured by CVVH,all the dead cases had dysfunction of blood coagulation.Conclusion Besides the etiological treatment and symptomatic treatment,CVVH was an effective adjuvant treatment in the treatment of MODS combined with pregnancy.
Keywords:Pregnancy complications  Multiple organ failure  Continuous vein-vein hemofiltration
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