妊娠期急性胰腺炎25例治疗及预后  

Treatment and prognosis of 25 patients with gestational acute pancreatitis

作　　者：兰明银[1] 周猛[1] 菅志远[1] 张敏[1] 周平[1] 兰浩铭[1] 

机构地区：[1]湖北医药学院附属太和医院普外,湖北十堰442000

出　　处：《腹部外科》2012年第3期164-165,共2页Journal of Abdominal Surgery

摘　　要：目的探讨妊娠期急性胰腺炎有效的治疗手段。方法回顾性分析1995年5月至2011年5月收治的25例妊娠期急性胰腺炎病人的临床资料。结果25例妊娠期急性胰腺炎中，母婴均死亡3例（12．0％），胎儿死亡2例（8．0％），痊愈19例（76．0％），终止治疗1例（4．0％）。主要治疗手段为：以保守治疗为主；广谱抗生素和胰酶抑制剂的使用；血液净化。结论遵循保守综合个体化治疗原则，掌握正确手术时机和方法有助于降低妊娠期急性胰腺炎孕妇及胎儿的病死率。Objective To explore the effective treatments for gestational acute pancreatitis. Methods The clinical data and treatments of 25 patients with acute pancreatitis in our hospital from May 1995 to May 2011 were analyzed retrospectively. Results Among the 25 patients, both patients and fetuses diedin 3 cases （12. 0 %）, and 2 fetuses （8. 0%） died only, and 1 patient refused the hospitalization treatment. The rest 19 patients and fetuses were cured completely （76. 0 %）. The major treatments included non-surgical treatment （broad-spectrum antibiotics, somatostatin to inhibit the trypsin）, hemofiltration, fluid therapy, etc. Conclusion The mortality rate of patients and fetuses could be declined by the personalized and comprehensive non-surgical measures for the gestational acute pancreatitis patients.

关 键 词：胰腺炎 急性坏死性 妊娠 治疗 

分 类 号：R657.51[医药卫生—外科学]