国际妇产科学杂志

国际妇产科学杂志 ›› 2014, Vol. 41 ›› Issue (3): 272-273.

• 论著 • 上一篇    下一篇

14例妊娠期急性胰腺炎回顾性分析

郭艳巍，朱艳菊   

  1. 067000 河北省承德市，河北省承德医学院附属医院产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-06-15 发布日期:2014-06-15
  • 通讯作者: 郭艳巍

Retrospective Analysis of 14 Cases with Pregnancy Complicating Acute Pancreatitis

GUO Yan-wei，ZHU Yan-ju   

  1. Department of Obstetrics，Affiliated Hospital of Chengde Medical School，Chengde 067000，Hebei Province，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-06-15 Online:2014-06-15
  • Contact: GUO Yan-wei

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摘要： 目的：探讨妊娠期急性胰腺炎的发病特点，为大样本研究提供依据。方法：回顾性分析14例妊娠合并急性胰腺炎患者的临床资料，研究其危险因素。结果：14例妊娠期急性胰腺炎患者中（12例为农民，2例为城镇居民），1例为中期妊娠，其余均为晚期妊娠；轻型胰腺炎9例，重型胰腺炎5例；患胆囊炎或有胆石症病史的患者2例，伴有高脂血症10例；并发妊娠期高血压疾病者3例；妊娠合并糖尿病酮症酸中毒1例；13例痊愈，1例死亡，其中宫内死胎2例。结论：妊娠晚期是急性胰腺炎高发时期，高脂血症是妊娠合并急性胰腺炎可能的危险因素。对妊娠妇女规范的产前检查和对基层妇产科医生的系统培训是降低不良妊娠结局发生的关键。

关键词: 孕妇, 胰腺炎, 危险因素, 产前诊断, 回顾性研究

Abstract: Objective：To explore risk factors of acute pancreatitis during pregnancy, providing the basis for large sample research. Methods：A retrospective analysis of 14 cases of pregnancy with the clinical data of patients with acute pancreatitis, studying the risk factors. Results： 14 cases of patients with acute pancreatitis during pregnancy （12 patients for farmers, 2 cases as urban residents）, 1 case of mid-term pregnancy, the rest are in third trimester; 9 cases are of light pancreatitis, 5 cases are of heavy pancreatitis ; 2 cases for cholecystitis or with a history of cholelith disease, 10 cases were associated with hyperlipidemia; 3 cases were complicated with pregnancy hypertension disease;1 case for pregnancy with diabetes ketoacidosis. 13 cases recovered, 1 case death, including fetal death in 2 cases. Conclusions：The late pregnancy period is high incidence of acute pancreatitis and hyperlipidemia is one of the most important risk factor for pregnancy with acute pancreatitis. Normative antenatal examination to pregnant women and grass-roots system training to obstetricians are the keys to reduce adverse pregnancy .

Key words: Pregnant women, Pancreatitis, Risk factors, Prenatal diagnosis, Retrospective studies