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

作　　者：王军[1] 

机构地区：[1]安徽省阜阳市人民医院普外科,236004

出　　处：《蚌埠医学院学报》2011年第8期813-814,817,共3页Journal of Bengbu Medical College

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。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.

关 键 词：胰腺炎 妊娠 诊断 治疗 

分 类 号：R576[医药卫生—消化系统]