1 2 Pereira A Krieger BP. Pulmonary complications of pregnancy J. Clin Chest Med

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1 593 E 1 PGE 1 EPA γ- ALI ARDS 1. / GC NO 2006 J PS ARDS 1 2Pereira A Krieger BP. Pulmonary complications of pregnancy J. Clin Chest Med GC PS 3Venkata DB Uma M Michael AM. Acute lung injury and acute ALI ARDS respiratory distress syndrome in pregnancyj. Crit Care Clin ALI ARDS M J ALI ARDS 6. ARDS J J ARDS 8. J ARDS J ARDS ICU 10te Raa GD Ribbert LS Snijder RJ. Treatment options in massive pulmonary embolism during pregnancya case-report and review of literature J. Thrombosis Research ALI ARDS J. Clin Chest Med M M. 7. > 160 /min > 180 /min < 120 /min 14. < 100 /min 3 J van Kaam AH Haitsma JJ Dik WA et al. Response to exogenous surfact- ant is different during open lung and conventional ventilation J. Crit Care Med ALI ALI ARDS ALI ARDS 11Brito VNiederman MS. Pneumonia complicating pregnancy ALI ARDS lphuang2006@ 126. com ALI ARDS

2 594 kpa R C AbstractPoor prognosis of postpartum hemorrhagic shock is connected with failure of timely and effective treatment. We provide a brief review of application of limited fluid resuscitation in postpartum hemorrhagic shock and the effect of limited fluid resuscitation on blood losscomplications of shockorgan function protection and the prognosis of postpartum hemorrhagic shock. Keywordshemorrhagic shockpostpartum hemorrhagelimited fluid resuscitationmultiple organ dysfunction mmhg MODS 65 mmhg Bjrn ~ 1500 ml 2000 ml Hb MODS 90 MAP 50 mmhg MAP 65 mm- Hg 1 MAP40 ~ 50 mmhg 1 mmhg = MODS ARF

3 ARDS ARF MAP 50 ~ 60 DIC MODS MODS 1 HCT Hb MODS 7 2 MODS 3 ET VIP - SIRS SIRS MODS MODS mmhg SIRS 4 SIRS MODS MODS SIRS 30. 6% % 6 -α TNF-α MODS 2 41% % ~ 100% 9 8 MODS 17. 5% 5. 9 MODS 80 MAP 50 ~ 60 mmhg MAP 50 ~ 60 mmhg MAP > 60 mmhg 700 ml 1050 ml vs ml Hb

4 596 APTT PT MODS Sapinens Publishing Friedman Z Berkenstadt H Preisman S et al. A comparison of lactated ringer s solution to hydroxyethyl starch 6% in a model of severe hemorrhagic shock and continuous bleeding in dogs 1 J. Anesth Analg Morrissey JH. Tissue factora key molecule in hemostatic and 3 nonhemostatic systemsj. Int J Hematol J Bjrn Huβmann Rolf Lefering Georg Taeger et al. Influence of prehospital fluid resuscitation on patients with multiple injuries in hemorrhagic shock in patients from the DGU trauma registry J. Emerg Trauma Shock Morrison CA Carrick MM Norman MA. Hypotensive resuscitation strategy reduces transfusion requirements and severe postoperative coagulopathy in trauma patients withhemorrhagic shock preliminary results of a randomized controlled trialj. J Trauma % ~ 85% 7Afssa B Green B Delke I et al. Systemic inflanunatory response syndrome organ failure and outcome in critically ill obs- letric patients treated in an ICU J. Chest HCT J SV DO M. SvO J SvO 2 > J J Christoper BL. A textbook of postpartum hemorrhagem. UK J.

5 Yu YH Gong SP Sheng C et al. Increased survival with hypotensive resuscitation in a rabbit model of uncontrolled hemorrhagic shock in pregnancyj. Resuscitation Sheng C Yu YH Zhao KS et al. Acute lung inflammatory response and injury after hemorrhagic shock are more severe in postpartum rabbitsj. Crit Care Med Lobo SM Salgado PF Castillo VG et al. Effects of maximizing oxygen delivery on morbidity and mortality in high-risk surgical patients J. Crit Care Med Bundgaard-nielsen M Secher NH Kehlet H. Liberal vs. restrictive perioperative fluid therapy-a critical assessment of the evidencej. Acta An aesthesiologica Scandinavica Dellinger RP Carlet JM Masur H et al. Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock J. Crit Care Med R C AbstractAntenatal administration of glucocorticoid large dose of ambroxol hydrochloride and alveolar surfactant preparation can promote the production of alveolar surfactantwhich can reduce the onset of NRDS on premature after birth and increase the survival rate of newborns. Keywordsacceleration of fetal lung maturationglucocorticoidambroxol hydrochloridepulmonary surfactant NRDS NRDS pulmonary surfactant PS NRDS β- 1 PS ~ 24 PS 26 ~ 32 Ⅰ Ⅱ PS 34 ~ 35 PS 34 PS 1969 Liggins 1972 Liggins NRDS - Ⅱ PS RDS PS duj@ sj - hospital. org FASN PS