4例妊娠期高脂性急性胰腺炎临床与影像分析  

Diagnosis and Treatment of Hyperlipidemic Acute Pancreatitis in Pregnancy:A Report of 4 Cases

作　　者：林飞 陈礼彬[2] 张玮[3] Lin Fet;Chen Liping;Zhang Wei(Emagency Department,Fujian Provinciai Hospitai,Provinciai College of Clinicci Medicine,Fujian Medicci University,Fujian Provinciai Key Laboratorg of Emergency Medicine,Fuzhou 350001;Pediatec Department,Fujian Provinciai Hospitai,Provinciai College of Clinicci Medicine,Fujian Medicci University,Fujian Provinciai Key Laboratorg of Emergency Medicine,Fuzhou 350001;Radiology Department,Fujian Provinciai Hospitai,Provinciai College of Clinicci Medicine,Fujian Medicci University,Fujian Provinciai Key Laboratorg of Emergency Medicine,Fuzhou 350001)

机构地区：[1]福建省立医院(福建医科大学省立临床医学院,福建省急诊医学重点实验室)急诊内科,福建福州350001 [2]福建省立医院(福建医科大学省立临床医学院,福建省急诊医学重点实验室)儿科,福建福州350001 [3]福建省立医院(福建医科大学省立临床医学院,福建省急诊医学重点实验室)放射科,福建福州350001

出　　处：《现代医用影像学》2020年第9期1581-1584,共4页Modern Medical Imageology

基　　金：福建医科大学启航基金新生大鼠脑出血对远期行为发育及多巴胺转运体表达的影响,项目编号:2017XQ1152。

摘　　要：目的:探讨妊娠期高脂性急性胰腺炎(hyperlipidemic acute pancreatitis,HLAP)的临床特点,并分析不同影像学检查对该病的应用价值。方法:对福建省立医院收治的4例妊娠期HLAP患者的临床、影像学资料进行回顾性分析。结果:4例妊娠期HLAP均发生于妊娠晚期;表现为中度重症及重度胰腺炎,表现为上腹疼痛、恶心、呕吐,伴随腹膜刺激征;血淀粉酶可不升高,腹部B超、CT、MRI等影像学检查是诊断HLAP主要诊断依据,MRI检查能更精确诊断妊娠期HLAP;4例HLAP均治愈或好转,未出现母胎死亡病例。结论:妊娠期HLAP病情多危重,早期准确诊断及多学科协作是关键,MRI检查可及早明确妊娠期HLAP诊断、减少误诊率,对孕妇及胎儿预后有着重要意义。Objective:To investigate the clinical characteristics of hyperlipidemic acute pancreatitis(HLAP)in pregnancy,and analyze the value of different imaging examination to the disease.Methods:The clinical and Imagical data of 4 patients with HLAP in our hospital were analyzed retrospectively.Results:4 cases of HLAP were mainly occurred in the late pregnancy,moderate and severe pancreatitis was common.The main manifestations of the disease are abdominal pain in the upper abdomen,nausea and vomiting.formally accompanied by peritoneal irritation syndrome.Serum amylase can be normal.Abdominal ultrasonography,CT and MRI were the main diagnostic basis of HLAP,MRI can diagnose pregnancy HLA P more accurately.4 cases of HLAP were successfully treated.There was no maternal and fetal death.Conclusion:For HLAP in pregnancy,the key is the correct diagnosis in an early period and multidisciplinary collaboration,MRI can reduce misdiagnosis rate of HLAP in pregnancy,which can make a good prognosis for the patients.

关 键 词：高脂血症 急性胰腺炎 妊娠 诊疗 

分 类 号：R714.255[医药卫生—妇产科学]