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严重产后出血器官功能保护策略

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严重产后出血是导致孕产妇发生严重并发症的主要原因之一,可直接威胁孕产妇的生命.如何减少可避免的孕产妇死亡,提高孕产妇的整体生活质量,是产科永恒的追求.严重的产后出血可引起组织器官灌注不足、微循环障碍、组织厌氧代谢和细胞损伤,导致多器官功能障碍、衰竭,最终导致死亡.精确评估患者病情,协调多学科治疗团队,实施量身定制的干预措施,优先保护心脏、肾脏、肝脏、免疫系统、凝血和其他重要器官,可以最大限度地降低并发症的风险并保护孕产妇的近、远期健康.
Organ function protection strategies in severe postpartum hemorrhage
Severe postpartum haemorrhage is one of the major maternal health challenges and can pose a direct threat to maternal life.How to reduce avoidable ma-ternal mortality and improve the overall quality of maternal life is the eternal pursuit of obstetrics.Severe postpartum hemorrhage can cause hypoperfusion of tissues and organs,micro circulation disorders,anaer-obic metabolism of tissues and cell damage,leading to multi-organ dysfunction,failure,and ultimately mor-tality.Precise evaluation of the patient's condition,coordination of a multidisciplinary treatment team,and the implementation of tailored interventions that pri-oritize the safeguarding of vital organs such as the heart,kidneys,liver,immune system,coagulation,et,can minimize the risk of complications and protect maternal short term and long term health.

severe postpartum hemorrhagehemody-namicsmultiple organ function preservation

李霞林、贺芳

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妇产科,广东省产科重大疾病重点实验室、广东省妇产疾病临床医学研究中心、粤港澳母胎医学高校联合实验室,广州医科大学附属第三医院,广东 广州 510150

严重产后出血 血流动力学 多器官功能保护

国家重点研发计划

2021YFC2701500

2024

中国实用妇科与产科杂志
中国医师协会 中国实用医学杂志社

中国实用妇科与产科杂志

CSTPCD北大核心
影响因子:1.97
ISSN:1005-2216
年,卷(期):2024.40(4)
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