现报道合并妊高征、纤溶系统异常、贫血、肺淤血的一例四胎孕妇行剖宫产术并复习文献。孕妇30岁,服克罗米芬后受孕,为四胎妊娠。孕13周行宫颈管缝扎术,孕25周出现低蛋白血症,孕26周出现轻度高血压、四肢浮肿、蛋白尿,孕28周胸片示肺淤血入ICU病室。孕29周行剖宫产术。给与硫喷妥钠后插管,胎儿娩出后给笑气。手术1小时7分钟,麻醉1小时45分钟。术中输血800ml。新生 Is reported with PIH, fibrinolytic system abnormalities, anemia, pulmonary congestion in a case of four pregnant women undergoing cesarean section and review the literature. Pregnant women 30 years old, after taking clomiphene conceive for four pregnancy. 13 weeks pregnant cervical suture, pregnancy 25 weeks of hypoproteinemia, 26 weeks of pregnancy appeared mild hypertension, extremities edema, proteinuria, 28 weeks pregnant chest lung congestion showed ICU ward. 29 weeks pregnant cesarean section. Given after intubation of thiopental, after the baby was delivered to the laughing gas. 1 hour and 7 minutes surgery, 1 hour and 45 minutes of anesthesia. Intraoperative blood transfusion 800ml. newborn