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我院1983年1月~1990年6月,孕产妇死亡16例。本文就其死因与产科领域内多器官功能衰竭(multiple organ failure,MOF)的关系进行讨论,并提出防治措施。 1 临床资料与分析 1.1 一般资料年龄22~30岁。农民10例,工人5例,居民1例。初产妇12例,经产妇4例。早、中期妊娠6例,5例未终止妊娠;晚期妊娠5例,2例未终止妊娠;产褥期5例。 1.2 死因分析 1.2.1 从入院到死亡时间为2h~16d,平均4d多。合并内科疾病死亡者住院时间比直接产科原因的要长;产科原因致死者,除产褥中暑、感染和子痫脑溢血外,均在入院24h死亡。未终止妊娠者7例,均因
Our hospital from January 1983 to June 1990, 16 maternal deaths. This article discusses the relationship between the cause of death and multiple organ failure (MOF) in the field of obstetrics and puts forward prevention and treatment measures. 1 Clinical data and analysis 1.1 General Information Age 22 to 30 years old. 10 peasants, 5 workers and 1 resident. 12 cases of primipara, 4 cases of mothers. Early and mid-term pregnancy in 6 cases, 5 cases did not terminate the pregnancy; late pregnancy in 5 cases, 2 cases did not terminate the pregnancy; puerperium in 5 cases. 1.2 Cause of death 1.2.1 from admission to death time of 2h ~ 16d, an average of 4d more. Hospitalized patients with medical illness had longer hospital stay than immediate obstetric reasons; those who died of obstetric reasons died of hospitalization at 24h except for puerperal sunstroke, infection and eclampsia. 7 cases did not terminate pregnancy, both due