CAJ | 학술논문

目的：增加对妊娠合并急性胰腺炎的认识，探讨其临床特点、治疗原则、预防措施以及其对孕产妇和胎儿的影响结果。方法回顾性分析16例妊娠合并急性胰腺炎的临床特点、治疗方法及结局。结果13例轻型胰腺炎患者采用保守治疗，无一例因胰腺炎行剖宫产术，母婴均安全出院，3例重症胰腺炎患者保守治疗加用连续肾脏替代治疗后病情无明显好转，及时行剖宫产术，孕妇均治愈。结论妊娠合并急性胰腺炎的主要诱因是胆管疾病和高脂血症；诊断主要依据影像学检查；治疗轻型胰腺炎可以行保守治疗；重症胰腺炎在保守治疗基础上应果断终止妊娠并进行胰周引流术。
목적：증가대임신합병급성이선염적인식，탐토기림상특점、치료원칙、예방조시이급기대잉산부화태인적영향결과。방법회고성분석16례임신합병급성이선염적림상특점、치료방법급결국。결과13례경형이선염환자채용보수치료，무일례인이선염행부궁산술，모영균안전출원，3례중증이선염환자보수치료가용련속신장체대치료후병정무명현호전，급시행부궁산술，잉부균치유。결론임신합병급성이선염적주요유인시담관질병화고지혈증；진단주요의거영상학검사；치료경형이선염가이행보수치료；중증이선염재보수치료기출상응과단종지임신병진행이주인류술。
Objective To report the experience in treating pregnancy with acute pancreatitis (APIP), discuss the clinical characteristics, treatment principles and prevention measures and their effects on maternal and fetal outcome. Methods Sixteen cases of APIP who submitted in our hospital between Jan 2006 and Jun 2014 were retrospectively analyzed clinical characteristics , treatment and outcome. Results All pregnant women were cured. Thirteen cases with mild acute pancreatitis were treated by conservative treatment , no cesarean section due to pancreatitis , maternal and child are safe discharge. Three cases of severe acute pancreatitis were failed to conservative treatment and continuous renal replacement therapy,.and emergency cesarean was performed. Conclusion Among these patients,.bile duct disease and hyperlipidemia were the main cause of APIP. Diagnosis was mainly depended on imaging examination..Conservative treatment was effective to mild acute pancreatitis, while severe acute pancreatitis after conservative treatment should be determined on the basis of termination of pregnancy and peripancreatic drainage.