妊娠晚期合并重症急性胰腺炎在ICU中的综合治疗

Combined treatment of the severe acute pancreatitis during late-pregnancy in ICU

目的:探讨妊娠晚期合并重症急性胰腺炎(SAP)在ICU中的综合治疗效果及其意义。方法:对2006年2月至2012年2月我院中心ICU收治的65例妊娠晚期合并重症急性胰腺炎病例进行回顾性分析。结果:50例患者痊愈出院,12例病情缓解后出院行家庭肠内营养,3例患者自动出院。结论:妊娠晚期合并重症急性胰腺炎病情凶险,一旦确诊,及时终止妊娠,并转入重症监护病房给予综合抢救,方能确保母婴平安。

Objective： To evaluate the effect and the significance of combined treatment for severe acute pancreatitis during late - pregnancy in ICU. Methods： 65 cases of severe acute pancreatitis during late - pregnancy in ICU of hospital where the authors worked from Feb. 2006 to Feb. 2012 were analyzed retrospectively. Results： Fifty patients were healed by conservatively treated with drugs under closed observation. Twelve patients were discharged with percutaneous endoscopic gastrostomy/jejunostomy（PEG/PEJ） or nasal - jejanum duct and family enteral nutrition. Three patients were automatic discharged from hospital. Conclusions： SAP is an extremely dangerous state and difficult to diagnose during late- pregnancy. Early and prompt combined treatment in ICU is the key factor to successful outcome.