关键词: 妊娠, 胰腺炎, 高脂血症, 诊断, 治疗

Abstract:

Acute pancreatitis in pregnancy is a serious complication of pregnancy. Although the incidence is low, but because of its rapid onset, many complications, and atypical clinical manifestations, it is extremely harmful to the pregnant woman and the foetus. In recent years, the proportion of acute hyperlipidemia-induced pancreatitis in pregnancy has increased, and this kind of pregnant women have rapid progress and prone to become severe. This article reported a case of hyperlipidemia-induced acute pancreatitis in pregnancy. The patient′s initial symptoms were not typical but the routine blood specimens showed chyle-like changes when she was admitted to the hospital, which caused alertness of the medical staff. After a clear diagnosis, a cesarean section was performed in time to terminate the pregnancy, and a healthy baby girl was successfully delivered. After the operation, the patient was discharged from the hospital after symptomatic treatment such as fasting, lipid-lowering, anti-infection, gastrointestinal decompression, inhibition of pancreatic enzyme activity and secretion, acid suppression and stomach protection, and maintenance of electrolyte balance. This case can provide reference for clinical physicians to diagnose and treat the disease, strive for early diagnosis, improve cure rate, and ensure maternal and infant safety.

Key words: Pregnancy, Pancreatitis, Hyperlipidemias, Diagnosis, Therapy