摘要
目的妊娠合并急性胰腺炎(acute pancreatitis in pregnancy,APIP)临床较为少见,病情较复杂,若诊治不及时可造成母婴死亡。故早期确诊重症胰腺炎是降低母婴死亡率的关键。文中探讨APIP的早期诊断、产科处理以及预防措施。方法回顾性分析2002年1月至2010年12月收治的26例APIP的临床资料。结果 26例孕产妇无死亡。其中2例保守治疗后经阴道分娩,15例行子宫下段剖宫产术终止妊娠,娩出新生儿均存活;6例胎死宫内;2例自动放弃胎儿,并行引产术。结论 APIP是一种起病急、进展快、易误诊漏诊的妊娠期并发症。早期及时诊断可提高治愈率,降低母婴病死率,适时终止妊娠、保守综合个体化治疗原则是关键。
Objective Severe acute pancreatitis in pregnancy （SAPIP） is a rare and complicated clinical disease, which may result in the death of both the mother and the infant if not timely diagnosed and treated. Therefore, early diagnosis of SAPIP is the key to the reduction of maternal and infant mortality. The purpose of this study was to explore the early diagnosis, obstetrical manage- ment and active prevention of SAPIP. Methods We retrospectively analyzed the clinical data of 25 cases of SAPIP treated in our de- partment from January 2002 to December 2010. Results All the 25 patients survived, of whom pregnancy was terminated in 2 by vaginal delivery after conservative treatment and in another 15 by caesarean section, with all the newborns alive. There were 6 cases of dead fetus in the uterus and 2 cases of voluntarily abandoned fetus, which were managed by induction delivery. Conclusion SAPIP is characterized by acute onset, rapid progression, easily missed diagnosis and misdiagnosis. Early correct diagnosis and timely termi- nation of pregnancy, along with comprehensive and individualized conservative therapeutic measures, are keys to the improvement of its cure rate and reduction of mortality.
出处
《医学研究生学报》
CAS
北大核心
2012年第5期496-498,共3页
Journal of Medical Postgraduates
关键词
妊娠
急性胰腺炎
早期诊断
产科处理
积极预防
Pregnancy
Acute pancreatitis
Early diagnosis
Obstetrical management
Active prevention
