CAJ | 학술논문

目的：探讨妊娠中晚期伴发高脂血症性胰腺炎的临床特点和治疗经验。方法14例妊娠中晚期合并高脂血症性胰腺炎的患者在密切观察病情的前提下，根据孕周分别予以药物保守治疗，或及时采取手术终止妊娠、清除胰腺坏死组织，术后应用血液净化联合血浆置换治疗。结果1例母婴死亡，13例母亲痊愈出院，保胎成功9例。结论妊娠中晚期合并高脂血症性胰腺炎的早期诊断非常重要，根据孕周及病情变化合理选择个体化治疗方案是治疗成功的关键。
목적：탐토임신중만기반발고지혈증성이선염적림상특점화치료경험。방법14례임신중만기합병고지혈증성이선염적환자재밀절관찰병정적전제하，근거잉주분별여이약물보수치료，혹급시채취수술종지임신、청제이선배사조직，술후응용혈액정화연합혈장치환치료。결과1례모영사망，13례모친전유출원，보태성공9례。결론임신중만기합병고지혈증성이선염적조기진단비상중요，근거잉주급병정변화합리선택개체화치료방안시치료성공적관건。
Objective To discuss the clinical characteristics,the diagnosis and treatment of the patients with acute hyperlipidemic pancreatitis in middle and late pregnancy stage.Methods A retrospective analysis including the diagnosis,therapeutic modality,effect and postoperative complications was made for 14 patients with acute hyperlipidemic pancreatitis.Results Of all patients, 13 patients were discharged from hospital after their entire recovery except 1 patients fetus died and 9 patients fetuses were successfully saved . Conclusion Since clinical presentation of acute hyperlipidemia pancreatitis is complex,the misdiagnosis is more common and this disease seriously threatens the life of mother with their fetus.It is very important to make an early correct diagnosis and proper individualized therapy principles for the patients with acute hyperlipidemic pancreatitis during the midterm and late stage of pregnancy.