妊娠合并急性胰腺炎一例  

A Case of Pregnancy Complicated with Acute Pancreatitis

作　　者：唐浴鹃 古艳菲 林伟钊 马雪枫[1] 

机构地区：[1]暨南大学附属第一医院妇产科,广东 广州

出　　处：《临床医学进展》2024年第12期1498-1504,共7页Advances in Clinical Medicine

基　　金：广东省医学科学技术研究基金项目(A2022369);广东省中医药局科研项目(20241068)。

摘　　要：妊娠合并急性胰腺炎是一种少见但潜在严重的疾病,甚至可能危及母婴生命。因此及时诊断和有效治疗对改善母婴预后十分重要。胆结石疾病与高甘油三酯血症是妊娠合并急性胰腺炎的常见病因。其中并发症风险最大的是由高甘油三酯血症引起的急性胰腺炎。此种类型胰腺炎的治疗重难点在妊娠期高脂血症的管理。目前国内外尚无指南。本文报道了一例妊娠合并急性胰腺炎的患者,并探讨了其诊断和治疗策略。本案例患者在使用双重血浆置换、非诺贝特、omega-3脂肪酸等降脂药物及其他治疗后病情得到显著改善,顺利分娩一活婴,为该疾病的诊治和妊娠期高脂血症的管理提供了很好的参考意义。Acute pancreatitis during pregnancy is a rare but potentially serious disease that may even endanger the life of the mother and child. Therefore, timely diagnosis and effective treatment are very important to improve maternal and infant prognosis. Gallstone disease and hypertriglyceridemia are common causes of acute pancreatitis during pregnancy. The highest risk of complications is acute pancreatitis caused by hypertriglyceridemia. The treatment of this type of pancreatitis is difficult in the management of hyperlipidemia during pregnancy. At present, there are no guidelines at home or abroad. This article reports a case of pregnancy complicated with acute pancreatitis, and discusses its diagnosis and treatment strategy. In this case, the patient’s condition was significantly improved after the use of lipid-lowering drugs such as double plasma exchange, fenofibrate, omega-3 fatty acids and other treatments, and a live baby was delivered successfully, which provided a good reference for the diagnosis and treatment of this disease and the management of hyperlipidemia during pregnancy.

关 键 词：急性胰腺炎 高甘油三酯血症 妊娠并发症 病例报告 

分 类 号：R57[医药卫生—消化系统]