摘要
目的:通过对32例妊娠期急性胰腺炎患者进行回顾性分析,探讨妊娠期急性胰腺炎的临床特征及治疗与预后,总结临床经验,提高诊治水平。方法:回顾性分析2010年1月至2014年4月我院收治的32例妊娠期急性胰腺炎患者临床资料。结果:32例患者均有上腹痛表现及血淀粉酶升高。46.8%患者有胆系疾病;30例(93.7%)患者有不同程度的高脂血症,但其中甘油三酯(TG)水平≥11.3μmol/L者8例(25%);孕妇死亡1例,病死率3.1%;胎儿死亡6例(18.7%);本组资料误诊率达到21.8%。结论:胆道疾病仍是造成妊娠期急性胰腺炎的主要病因,增强对该病的认识,早期诊断、早期治疗是改善预后的关键。
Objective： To study the clinical characteristic, treatment and prognosis of acute panereatitis in pregnancy by retrospective analysis. Methods： 32 cases with acute pancreatitis in pregnancy admitted to our hospital between Jan 2010 and April 2014 were investigated and analyzed respectively. Results： All patients presented with upper quadrant abdominal pain and elevated blood amylase. Hypertriglyceridemia was detected in 30 cases（93.7%）, and blood tryglyceride I〉 11.3 txmo]/L was only demonstrated in 8 cases（25% ）. One maternal death were observed, and the mortality rate was 3.1%. Six fetal deaths, and the perinatal mortality was 18.7%. Conclusion： Biliary tract disease is still the main cause of acute pancreatits in pregnancy. Enhanced of the understanding of the disease, early diagnosis and treatment would improve the prognosis of acute pancreatitis in pregnancy.
出处
《泸州医学院学报》
2015年第5期485-487,共3页
Journal of Luzhou Medical College
关键词
妊娠
急性胰腺炎
上腹痛
Pregnancy
Acute pancreatitis
Abdominal pain
