妊娠合并胰腺炎临床特点40例分析

发布时间：2018-05-24 05:39

  本文选题：妊娠 + 胰腺炎　； 参考：《中国实用妇科与产科杂志》2017年11期

【摘要】：目的探讨妊娠合并急性胰腺炎(APIP)的病因与妊娠结局的关系。方法回顾性分析广州医科大学附属第三医院2003—2015年期间,分娩52 839例,其中40例APIP患者的临床资料。结果 APIP发生率0.08%。40例APIP患者中均无一例孕妇死亡。轻型胰腺炎16例(40.0%),中重症胰腺炎15例(37.5%),重症急性胰腺炎9例(22.5%)。胆源性急性胰腺炎为9例(22.5%),发生死胎1例;脂源性急性胰腺炎为9例(22.5%),发生死胎3例;1例(2.5%)同时合并脂源性、胆源性急性胰腺炎,孕34+5周胎膜早破顺产。余21例(52.5%)为特发性急性胰腺炎,发生死胎1例。结论 APIP发生率低但凶险,诊治过程中应尽早明确病因,多学科协作对因治疗,可明显改善母儿预后。
[Abstract]:Objective to investigate the relationship between the etiology and pregnancy outcome of pregnancy complicated with acute pancreatitis (AP). Methods the clinical data of 52,839 cases of delivery, including 40 cases of APIP, from 2003 to 2015 in the third affiliated Hospital of Guangzhou Medical University were retrospectively analyzed. Results the incidence of APIP was 0.08%. None of the 40 APIP patients died. There were 16 cases of mild pancreatitis, 15 cases of moderate and severe pancreatitis, and 9 cases of severe acute pancreatitis. There were 9 cases of acute pancreatitis of biliary origin, 1 case of stillbirth, 9 cases of adipogenic acute pancreatitis (9 cases) and 1 case of stillborn fetus (1 case) accompanied with lipids, acute pancreatitis of biliary origin, premature rupture of membranes at 34.5 weeks of gestation. The remaining 21 cases (52.5%) were idiopathic acute pancreatitis (1 case of stillbirth). Conclusion the incidence of APIP is low but dangerous. In the course of diagnosis and treatment, the etiology should be determined as soon as possible.
【作者单位】： 广州医科大学附属第三医院妇产科重症孕产妇救治中心;广州医科大学附属第三医院外科;
【分类号】：R714.255
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本文编号：1927883