摘要
目的:探讨妊娠晚期重症急性胰腺炎(SAP)的临床特点和治疗方法。方法:回顾分析24例妊娠晚期合并SAP患者的临床资料。结果:2例经密切观察,内科保守治疗,顺利出院;4例经保守治疗病情恶化转为手术治疗;18例入院即行手术治疗,术式以终止妊娠、清除坏死组织和胰腺周围置管引流为主。2例母婴死亡,18例母婴临床治愈出院,4例术后婴儿死亡。结论:妊娠晚期发生SAP病情凶险,须及时正确诊断,及早终止妊娠,合理治疗。
Objective：To study the clinical characteristics and its treatment of severe acute pancreatitis（SAP）during late-pregnancy.Methods：The clinic data of twenty-four patients with SAP in late pregnancy stage were reviewed.Results：Two-case were healed by conservatively treated with drugs under closed observation.Operation was performed for the four-case following conservatively treated with their conditions worsened and the other eighteen-case received operation immediately to eliminate the necrotic tissues and terminate their pregnancy.Two mothers with their fetus died,Eighteen mothers and their fetuses were discharged from the hospital after their entire recovery,Four fetuses were died after operation.Conclusion：SAP is a extremely dangerous state and difficult to diagnose during late-pregnancy,Early and prompt treatment is the key factor to successful outcome.
出处
《中国现代普通外科进展》
CAS
2010年第4期270-273,共4页
Chinese Journal of Current Advances in General Surgery
关键词
妊娠晚期
急性重症胰腺炎
Late-pregnancy
Server acute pancreatitis
