摘要
目的探讨妊娠合并急性胰腺炎(APIP)的病因、诊断、治疗和预防。方法回顾性分析我院2005年1月～2011年12月期间住院诊断和治疗的妊娠合并急性胰腺炎10例的临床资料。结果该组10例中,4例为妊娠合并轻症胰腺炎(MAP),6例为妊娠合并重症胰腺炎(SAP)。4例为胆道疾患所致,5例为高脂血症所致,1例原因不明。4例行外科治疗,9例采用剖宫产术,1例孕6+月剖宫取胎。10例患者均健康存活,其中8例新生儿存活(6例早产,其中1例出生时轻度窒息,2例足月产),1例死亡(早产)。结论胆道疾患及高脂血症为APIP发生的危险因素,APIP于妊娠中晚期发病率高,提高对APIP的认识,及时诊断,在积极保守治疗的基础上,根据孕妇及胎儿情况选择个体化治疗,及时终止妊娠,并行手术治疗,会明显改善母婴预后。
Objective To investigate the treatment and prevention of acute pancreatitis in pregnan- cy. Methods The retrospective analysis was made on clinical data of ten patients with pregnancy compli- cated with acute pancreatitis. Results In ten cases of patients, four patients were mild acute pancreati- tis, six patients were serous acute pancreatitis. Four patients were caused by biliary duct disease. Five patients were caused by hyperlipemia, one was unknown. Four patients were accepted surgical treat- ment, nine patients accepted cesarean section, one was accepted surgical incision through the abdominal because the fetal was dead in the uterus. Ten patients were survival, eight neonate（six premature baby, two term infant） were well,one（premature baby） was dead. Conclusions Calculus of biliary duct disease and byperlipemia are the dangerous factors of the occur of acute pancreatitis in pregnancy. The occur- rence of acute pancreatitis in pregnancy higher in second trimester and late pregnancy. It will improve the prognosis of pregnant woman and fetal on the base of timely diagnosis, activate conservative treatment, individualize treatment, timely terminate pregnancy and surgical treatment according to pregnant woman and fetal conditions.
出处
《齐齐哈尔医学院学报》
2012年第14期1872-1873,共2页
Journal of Qiqihar Medical University
关键词
妊娠
胰腺炎
危险因素
Pregnancy Pancreatitis Dangerous factor
