摘要
目的 提高对妊娠合并急性胰腺炎的认识和警惕性 ,降低孕产妇的病死率。方法 对本院 1992年 3月～ 2 0 0 2年 3月收治的妊娠合并急性胰腺炎的 5例进行回顾性分析。结果 本组病例大多发病于妊娠晚期 ,且多为重症急性胰腺炎 ;误诊 2例 ,误诊孕产妇病死率显著增高 ;中止妊娠不能降低孕产妇病死率。结论 妊娠合并急性胰腺炎的早期诊断与治疗是改善病人预后的基础 ,其治疗应遵循“个体化”原则 。
Objective To raise the vigilance for pregnancy complicated with acute pancreatitis and to reduce the maternal mortality.Methods The clinical data of 38 cases of pregnancy complicated with acute pancreatitis were analyzed retrospectively. Among 38 cases of pregnancy complicated with acute pancreatitis, 26 cases were in late trimester of pregnancy( 68.4% ), 29 cases were suffered from severe acute pancreatitis( 76.3% ), and 21 cases were misdiagnosed( 55.3% ), The maternal and fetal mortality was 18.4% and 36.8% respectively. The main cause of maternal deaths was misdiagnosis.Conclusion For the purpose of reducing the maternal mortality of pregnancy complicated with acute pancreatitis, the correct diagnosis and proper treatment are important.
出处
《腹部外科》
2003年第4期218-219,共2页
Journal of Abdominal Surgery
关键词
妊娠合并症
急性胰腺炎
诊断
治疗
误诊
Pregnancy complications
Pancreatitis
Diagnosis
Treatment
