本文選題：妊娠 + 胰腺炎　； 參考：《中國(guó)實(shí)用婦科與產(chǎn)科雜志》2017年11期

【摘要】：目的探討妊娠合并急性胰腺炎(APIP)的病因與妊娠結(jié)局的關(guān)系。方法回顧性分析廣州醫(yī)科大學(xué)附屬第三醫(yī)院2003—2015年期間,分娩52 839例,其中40例APIP患者的臨床資料。結(jié)果 APIP發(fā)生率0.08%。40例APIP患者中均無(wú)一例孕婦死亡。輕型胰腺炎16例(40.0%),中重癥胰腺炎15例(37.5%),重癥急性胰腺炎9例(22.5%)。膽源性急性胰腺炎為9例(22.5%),發(fā)生死胎1例;脂源性急性胰腺炎為9例(22.5%),發(fā)生死胎3例;1例(2.5%)同時(shí)合并脂源性、膽源性急性胰腺炎,孕34+5周胎膜早破順產(chǎn)。余21例(52.5%)為特發(fā)性急性胰腺炎,發(fā)生死胎1例。結(jié)論 APIP發(fā)生率低但兇險(xiǎn),診治過(guò)程中應(yīng)盡早明確病因,多學(xué)科協(xié)作對(duì)因治療,可明顯改善母兒預(yù)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.
【作者單位】： 廣州醫(yī)科大學(xué)附屬第三醫(yī)院婦產(chǎn)科重癥孕產(chǎn)婦救治中心;廣州醫(yī)科大學(xué)附屬第三醫(yī)院外科;
【分類號(hào)】：R714.255
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本文編號(hào)：1927883