妊娠期急性胰腺炎12例临床分析  

Clinical analysis of acute pancreatitis in pregnancy with 12 cases report

作　　者：何立伟[1] 喻航[1] 张景波[1] 吴非[1] 

机构地区：[1]哈尔滨市第一医院,黑龙江哈尔滨150010

出　　处：《中国现代医学杂志》2004年第23期106-108,共3页China Journal of Modern Medicine

摘　　要：目的探讨妊娠期急性胰腺炎的病因、发病机制、诊断、综合治疗、预防及预后.方法对该院1994年4月～2004年4月收治的12例妊娠期急性胰腺炎的临床资料进行回顾性分析.结果12例妊娠期急性胰腺炎非手术治疗10例,手术治疗1例,内镜十二指肠乳头括约肌切开(EST)+鼻胆管引流治疗1例.治愈11例(91.7%),死亡1例(8.3%).终止妊娠2例.12例患者,胎儿全部存活.结论胆道疾病与高脂血症是妊娠期急性胰腺炎的主要病因.妊娠期急性胰腺炎临床症状不典型,对母婴威胁极大.及时、准确的诊断与治疗是此痛预后的的关键,妊娠期急性胰腺炎主要采取非手术疗法.终止妊娠时机及方法应遵循个体化治疗原则.Objictive: To explore the etiology, mechanism, diagnosis, treatment, prevention and prognosis of acute pancreatitis in pregnancy(APIP). Methods: Twelve patients with APIP treated in our hospital from April, 1999 to April, 2004 were analyzed retrospectively. Results: Among 12cases of APIP 10 cases received non-operative therapy, 1case received operative therapy, 1 case received endoscopic sphincterotom (EST). 11 cases (91.7%) recovered and 1case (8.3%) died. 2 cases received ending pregnancy. The fetus survived. Conclusion: Cholelithiasis and hyperlipemia are the main reasons of APIP. APIP has no classical symptom and it threatens the mother and fetus seriously. The correct diagnosis and proper treatment are of great importance to the prognosisi of APIP. APIP should mainly be treated by non-operative measures. The timing and method of ending pregnancy should follow according to individualized therapy principles.

关 键 词：妊娠期急性胰腺炎 诊断 治疗 病因 

分 类 号：R576[医药卫生—消化系统]