妊娠合并高脂血症性胰腺炎行血液净化治疗1例

Blood purification therapy of gestational hyperlipidemic pancreatitis:A case report

Gestational hyperlipidemic pancreatitis is an uncommon complication of pregnancy that incurs a high risk of morbidity and mortality of both maternal and fetal patients.We described the response of continous renal replacement therapy in a woman with extreme gestational hyperlipidemia and severe pancreatitis.Five consecutive plasma exchanges didn’t lead to a remarkable reduction(10.4% and 4.8%,for the first and fourth times,respectively) at triglyceride levels as the literatures have reported,which reveals that plasma exchange and continous veno-venous heamofiltration may be importment,instead of crucial methods in dealing with gestational hyperlipidemic pancreatitis.Abstract:SUMM ARY Gestational hyperlipidem ic pancreatitis is an uncommon complication of pregnancy that in-curs a high risk ofmorbid ity and mortality of both maternal and fetal patients.W e described the response of continous renal replacement therapy in a woman with extreme gestational hyperlipidem ia and severe pancreatitis.Five consecutive plasma exchanges d idn’t lead to a remarkable reduction(10.4% and 4.8%,for the first and fourth times,respectively) at triglyceride levels as the literatures have reported,which reveals that plasma exchange and continous veno-venous heamofiltration may be importment,in-stead of crucialmethods in dealing with gestational hyperlipidem ic pancreatitis.

SUMMARY Gestational hyperlipidemic pancreatitis is an uncommon complication of pregnancy that incurs a high risk of morbidity and mortality of both maternal and fetal patients. We described the response of continous renal replacement therapy in a woman with extreme gestational hyperlipidemia and severe pancreatitis. Five consecutive plasma exchanges didn＇ t lead to a remarkable reduction （10.4% and 4. 8% , for the first and fourth times, respectively） at triglyceride levels as the literatures have reported, which reveals that plasma exchange and continous veno-venous heamofiltration may be importment, instead of crucial methods in dealing with gestational hyperlipidemie pancreatitis.