一例关于多学科联合护航下多重妊娠并发症 患者围产期管理探讨

A Case Study on the Perinatal Management of Patients with Multiple Pregnancy Complications under Multidisciplinary Collaborative Care

摘要: 目的：通过回顾性分析1例同时患有子痫前期、妊娠期糖尿病及前置胎盘的孕妇病例，收集其围产期门诊与住院诊疗资料，结合妊娠结局，探讨多重妊娠并发症的围产期疾病特点及多学科联合管理(MDT)策略的临床价值。结果：患者经内分泌科、心血管内科及中医科等多学科协作管理，于孕36周 + 1行剖宫产术，术中通过放置宫腔止血球囊有效预防了产后大出血，新生儿转NICU观察，母婴均于产后第8天康复出院。结论：多重妊娠并发症风险高，易发生严重母儿不良结局，围产期实施MDT管理模式，制定个体化方案，有效控制病情，显著降低并发症，从而改善母儿预后。

Abstract: Objective: To explore the disease characteristics of multiple pregnancy complications and the clinical value of a multidisciplinary team (MDT) management strategy during the perinatal period. This study retrospectively analyzed a case of a pregnant woman with concurrent preeclampsia, gestational diabetes mellitus (GDM), and placenta previa, collecting data from perinatal outpatient visits and hospitalizations, and integrating pregnancy outcomes. Results: Through collaborative management involving endocrinology, cardiovascular medicine, and traditional Chinese medicine departments, the patient underwent a cesarean section at 36 weeks + 1 day of gestation. The placement of an intrauterine hemostatic balloon during the procedure effectively prevented major postpartum hemorrhage. The newborn was transferred to the neonatal intensive care unit (NICU) for observation. Both mother and infant were discharged in good health on the 8th postpartum day. Conclusion: Multiple pregnancy complications carry a high risk and are prone to severe adverse maternal and neonatal outcomes. The implementation of an MDT management model during the perinatal period, involving the formulation of individualized treatment plans, effectively controls disease progression, significantly reduces complications, and thereby improves maternal and neonatal prognosis.