摘要
目的:探讨妊娠合并急性胰腺炎的临床特点、诊断及处理原则。方法:对该院近年来收治的11例妊娠合并急性胰腺炎患者临床资料进行回顾性分析。结果:11例患者中,轻度胰腺炎8例,重度胰腺炎3例;6例患者(54·54%)有胆结石病史,高脂血症5例(45·45%);8例轻度胰腺炎患者经保守治疗病情稳定,7例因孕周尚早平安出院,另1例为孕38周行剖宫产术结束分娩,母子健康出院;3例重度胰腺炎患者,1例孕17周经保守治疗无效行中孕引产术,另2例晚孕患者保守治疗的基础上行剖宫产术,同时行腹腔和胰腺固引流术,均痊愈出院。无一例孕产妇死亡。结论:妊娠合并急性胰腺炎的发生与胆结石和高脂血症有关,治疗方案应由内外科和妇产科医师共同制定。
Objective： To discuss the diagnosis and treatment of acute pancreatitis （AP） in pregnancy. Methods： 11 cases of AP in pregnancy were retrospectively analyzed. Results： Of 11 cases, 6 cases （55%） had previous history of gallstone, 5 cases had hyperlipidemia： 8 cases had mild AP and 3 severe AP; 2 cases received surgical operation, 3 cases cesarean operation and 1 case pregnancy induction. Conclusion： The occurrence of AP during pregnancy is related to gallstone and hyperlipidemia. The treatment program should be made by internists, surgeons and gynecologists together.
出处
《中国妇幼保健》
CAS
北大核心
2006年第9期1185-1186,共2页
Maternal and Child Health Care of China
关键词
妊娠
急性胰腺炎
胆结石
高脂血症
Pregnancy
Acute pancreatitis
Gallstone
Hyperlipidemia
