本文關(guān)鍵詞： 妊娠期急性胰腺炎 高脂血癥　出處：《中南大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：目的總結(jié)妊娠期急性胰腺炎(APP)的發(fā)病特點(diǎn)和預(yù)后及20年的變遷,探討其臨床診治要點(diǎn)。 方法回顧性分析近20年(1994—2013年)中南大學(xué)湘雅醫(yī)院收治的52例APP患者的臨床資料。 結(jié)果52例APP中,孕早期3例(5.8%),孕中期12例(23.0%),孕晚期37例(71.2%)。嚴(yán)重程度分級(jí)：輕型胰腺炎26例(50.0%),中度重癥胰腺炎13例(25.0%),重癥胰腺炎13例(25.0%)。病因方面：高脂血癥性胰腺炎28例(53.8%),膽源性胰腺炎14例(27.0%),特發(fā)性胰腺炎10例(19.2%)。全組APP患者(孕產(chǎn)婦)的病死率為零,胎兒病死率為19.2%(10/52),其中2例胎死宮內(nèi),4例早產(chǎn)后新生兒窘迫,4例考慮藥物對(duì)胎兒影響而行流產(chǎn)或引產(chǎn)。20年間我院收治的APP病人數(shù)逐年上升,其中高脂血癥性APP所占比例逐年增高。 結(jié)論APP的發(fā)病率呈逐年上升趨勢(shì),多數(shù)APP發(fā)生于孕晚期。高脂血癥和膽道疾病是APP的主要病因,其中高脂血癥所占比例尤為突出。APP仍伴有較高的胎兒死亡率,進(jìn)一步規(guī)范APP的治療和加強(qiáng)圍產(chǎn)期新生兒的護(hù)理對(duì)于改善APP總體預(yù)后具有重要價(jià)值。
[Abstract]:Objective to summarize the characteristics and prognosis of acute pancreatitis in pregnancy (APP) and its changes in 20 years, and to discuss the main points of clinical diagnosis and treatment. Methods the clinical data of 52 patients with APP in Xiangya Hospital of Central South University from 1994 to 2013 were retrospectively analyzed. Results among the 52 cases of APP, 3 cases were in the first trimester of pregnancy, and 12 cases in the second trimester. Grade of severity: 26 cases with mild pancreatitis (50.0%) and 13 cases with moderate severe pancreatitis (25.0%). The causes of severe pancreatitis were as follows: 28 cases with hyperlipidemic pancreatitis (53.8%) and 14 cases with biliary pancreatitis (27.0%). There were 10 cases of idiopathic pancreatitis (n = 10) with APP. The mortality of pregnant and parturient women was zero, the fetal mortality was 19.210 / 52, and 2 of them died in the uterus. 4 cases of neonatal distress after preterm delivery 4 cases of APP patients who were treated with abortion or induced labor considering the influence of drugs on fetus increased year by year and the proportion of hyperlipidemic APP increased year by year. Conclusion the incidence of APP is increasing year by year, and most of APP occurs in late pregnancy. Hyperlipidemia and biliary diseases are the main causes of APP. The proportion of hyperlipidemia is especially prominent. App is still accompanied by a higher fetal mortality. Further standardizing the treatment of APP and strengthening the nursing care of perinatal newborns have important value in improving the overall prognosis of APP.
【學(xué)位授予單位】：中南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R714.255

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 Vui Heng Chong;Anand Jalihal;;Endoscopic management of biliary disorders during pregnancy[J];Hepatobiliary & Pancreatic Diseases International;2010年02期

2 楊辰敏;滕宗榮;;妊娠期并發(fā)急性胰腺炎36例臨床診治分析[J];中國(guó)醫(yī)藥科學(xué);2013年04期

3 李宏亮;江元慧;魏媛;趙揚(yáng)玉;朱曦;么改琦;;妊娠期及產(chǎn)后急性胰腺炎的臨床分析[J];北京大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);2014年01期

4 彭敏;徐道妙;艾宇航;趙雙平;;妊娠合并急性胰腺炎30例診治分析[J];現(xiàn)代婦產(chǎn)科進(jìn)展;2012年05期

5 周永紅;李泳冰;;妊娠合并重癥胰腺炎21例臨床分析[J];中華婦幼臨床醫(yī)學(xué)雜志;2007年06期

6 常實(shí);曾慶軍;李勁東;劉蓉;龔學(xué)軍;湯恢煥;王志明;;妊娠合并胰腺炎的臨床診斷與治療[J];中國(guó)普通外科雜志;2010年07期

7 謝茂云;黃耀;陳衡;張衛(wèi)星;楊莉濤;魏揚(yáng)輝;;妊娠合并重癥急性胰腺炎的診治分析[J];中國(guó)現(xiàn)代醫(yī)學(xué)雜志;2011年29期

8 Capecomorin S Pitchumoni;Balaji Yegneswaran;;Acute pancreatitis in pregnancy[J];World Journal of Gastroenterology;2009年45期

9 Pankaj Jain;;Acute pancreatitis in pregnancy:An unresolved issue[J];World Journal of Gastroenterology;2010年16期

10 Vikram Kotwal;Rupjyoti Talukdar;Michael Levy;Santhi Swaroop Vege;;Role of endoscopic ultrasound during hospitalization for acute pancreatitis[J];World Journal of Gastroenterology;2010年39期

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本文編號(hào)：1490467