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妊娠期急性胰腺炎8例临床诊疗分析
引用本文:高悦,郭文斌. 妊娠期急性胰腺炎8例临床诊疗分析[J]. 临床和实验医学杂志, 2009, 8(4): 37-37,39
作者姓名:高悦  郭文斌
作者单位:大连市沙河口区绿波社区卫生服务中心;大连市中心医院,辽宁,大连,116033
摘    要:目的探讨妊娠期急性胰腺炎(APIP)病因、发病机制及诊疗方法。方法回顾性分析8例APIP的临床资料及特点。结果8例APIP患者非手术治疗7倒,经内镜乳头括约肌切开术(EST)加鼻胆管引流治疗1例。所有患者全部痊愈,其中引产2例,7例胎儿存活,1例胎儿死亡。结论胆道疾病及高血脂是APIP的主要原因,及时、准确的诊疗是本病预后的关键。APIP的治疗主要以非手术为主,但应遵循个体化的原则。

关 键 词:妊娠期急性胰腺炎  诊断  治疗

Analysis on clinical diagnosis and treatment of acute pancreatitis in 8 patients with pregnancy
GAO Yue,GUO Wen-bin. Analysis on clinical diagnosis and treatment of acute pancreatitis in 8 patients with pregnancy[J]. Journal of Clinical and Experimental Medicine, 2009, 8(4): 37-37,39
Authors:GAO Yue  GUO Wen-bin
Affiliation:GAO Yue , GUO Wen - bin. (1 Labo Clinical Department of Sahekou District ; 2 Dalian Central Hospital, Dalian Liaoning 116033, China.)
Abstract:Objective To explore the etiology., mechanism, diagnosis and treatment of acute pancreatitis in patients with pregnancy (APIP). Methods The clinical data of 8 patients with APIP treated in this hospital were retrospectively analyzed. Results Among 8 cases of APIP, 7 of them received non - operative treatment, and 1 case received endoscopic sphincterotomy (EST). All eases recovered and 2 cases received termination of pregnancy. 7 fetuses survived and 1 died. Conclusion Cholelithiasis and hyperlipemia are the main causes for APIP. The correct diagnosis and proper treatment are of great importance for the prognosis of APIP. APIP should mainly be treated by non - operative measures, but it is important to treat AP1P according to individualized theraoeutic nrincioles.
Keywords:Acute pancreatitis in pregnancy  Diagnosis  Treatment
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