妊娠合并急性胰腺炎15例临床分析

Analysis of 15 Pregnancy Complication with Acute Pancreatitis

目的:探讨妊娠合并急性胰腺炎的临床特征、诊断和治疗方案。方法:回顾性分析我院2005年1月-2016年1月收治的妊娠合并急性胰腺炎15例的临床资料。结果:15例患者中,轻型急性胰腺炎11例(73.3%),重型胰腺炎4例(26.7%)。轻型急性胰腺炎中6例孕周>34周,明确诊断后均行剖宫产终止妊娠,2例孕周较小经保守治疗好转出院,3例为分娩后确诊。重型急性胰腺炎中3例伴高脂血症,剖宫产术后均外科手术干预,1例28周发病胎死宫内,保守治疗后引产。围产儿死亡1例。结论:妊娠合并急性胰腺炎的早期诊断和合理治疗对保障母婴健康、减少围产儿死亡具有重要意义。

Objective：To investigate the clinic features,diagnosis and therapy of pregnancy complication with acute pancreatitis.Methods：A retrospective study was conducted on clinical data of 15 pregnancy complication with acute pancreatitis in our hospital from January 2005 to January 2016.Results：Of 15cases,11 cases （73.3%） had mild acute pancreatitis （MAP）, 4 cases （26.7%） had severe acute pancreatitis （SAP）.In MAP cases, 6 cases 〉34 weeks,received cesarean operation;2 cases recovered and discharged;3 cases were diagnosed after giving birth.In SAP cases,3 cases which had hyperlipidemia received cesarean operation and surgical operation;1 case pregnancy induction.Conclusion：Protect the heathy of maternal and infant and lessen the death of perinatal are significantly to the early diagnosis and reasonable therapy of pregnancy complication with acute pancreatitis.