王军. 妊娠期急性胰腺炎19例诊治分析[J]. 蚌埠医学院学报, 2011, 36(8): 813-814,817.
    引用本文: 王军. 妊娠期急性胰腺炎19例诊治分析[J]. 蚌埠医学院学报, 2011, 36(8): 813-814,817.
    WANG Jun. Diagnosis and treatment of acute pancreatitis in pregnancy:a report of 19 cases[J]. Journal of Bengbu Medical College, 2011, 36(8): 813-814,817.
    Citation: WANG Jun. Diagnosis and treatment of acute pancreatitis in pregnancy:a report of 19 cases[J]. Journal of Bengbu Medical College, 2011, 36(8): 813-814,817.

    妊娠期急性胰腺炎19例诊治分析

    Diagnosis and treatment of acute pancreatitis in pregnancy:a report of 19 cases

    • 摘要: 目的: 探讨妊娠期急性胰腺炎的病因及临床诊治经验。方法: 19例妊娠期急性胰腺炎患者,均采取禁食、胃肠减压、体液复苏,抗感染及静脉营养支持等保守治疗。结果: 19例均治愈,无并发症发生。孕妇无流产及死亡。终止妊娠4例,入院时时胎儿宫内死亡2例,引产1例,剖宫产取出1例;2例分别孕38周、39周因胎儿宫内窘迫及时剖宫产娩出存活。结论: 妊娠中晚期高脂血症和胆道疾病是妊娠期急性胰腺炎的常见诱因,及时终止妊娠有利于提高疗效。

       

      Abstract: Objective: To investigate the causes and management of pregnancy-associated pancreatitis(PAP). Methods: The clinical data of 19 cases of PAP from 2001 to 2009 were analyzed retrospectively. All the cases received conservative therapy. Results: All the 19 cases were cured. No complication,abortion or death occurred. Pregnancy was terminated in 4 patients,for the fetus in 2 cases died in the womb at admission,1 case was performed induced labor and 1 case cesarean section. One case with 38 pregnancy weeks and 1 case with 39 weeks were performed cesarean section when the fetus presented urgent condition in the uterus. Conclusions: Hyperlipidemia and diseases of biliary tract are the frequent causes of pregnancy-associated pancreatitis in the second and third trimester. Terminating pregnancy in proper time may help to improve the efficacy and prognosis.

       

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