妊娠期高甘油三酯血症性胰腺炎的诊治分析

高娜娜

doi:10.3969/j.issn.1001-5256.2016.09.027

妊娠期高甘油三酯血症性胰腺炎的诊治分析

DOI: 10.3969/j.issn.1001-5256.2016.09.027

高娜娜

榆林市中医医院妇产科

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中图分类号: R714.255
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出版历程
- 出版日期: 2016-09-20

Diagnosis and treatment of hypertriglyceridemic pancreatitis in pregnancy

Gao NaNa

Department of Gynecology and Obstetrics, Yulin Hospital of Traditional Chinese Medicine

摘要

摘要: 目的探讨妊娠期高甘油三酯血症性胰腺炎（HPP）的临床诊治分析。方法回顾性收集并分析榆林市中医医院2005年6月-2015年6月收治的29例HPP孕产妇患者的临床资料。结果 29例HPP患者中,孕早期5例（17.2%）,孕晚期24例（82.8%）;轻型胰腺炎8例（27.6%）,中型胰腺炎14例（48.3%）,重型胰腺炎7例（24.1%）。血清TG平均水平为15.5 mmol/L。孕产妇无死亡,胎儿死亡率为17.2%（5/29）,均为胎死宫内。结论妊娠期HPP虽然少见,但其发病率逐年升高,多见于孕晚期。HPP常导致较高的胎儿死亡率,因此应及时诊断和治疗以改善母婴预后。
- 胰腺炎 /
- 甘油三酯血症 /
- 孕妇 /
- 诊断 /
- 治疗
Abstract: Objective To investigate the clinical diagnosis and treatment of hypertriglyceridemic pancreatitis in pregnancy( HPP). Methods The clinical data of 29 patients with HPP who were admitted to Yulin Hospital of Traditional Chinese Medicine from June 2005 to June2015 were retrospectively analyzed. Results Of all the 29 patients,5( 17. 2%) were in the first trimester and 24( 82. 8%) were in the third trimester; among them,8( 27. 6%) had mild pancreatitis,14( 48. 3%) had moderate pancreatitis,and 7( 24. 1%) had severe pancreatitis. The patients had a mean serum triglyceride level of 15. 5 mmol/L. No pregnant women died; the mortality rate of the fetuses reached 17. 2%( 5/29),and all of the five cases were intrauterine fetal death. Conclusion Although the prevalence of HPP is low,its incidence rate is increasing gradually,and HPP is commonly seen in the third trimester. HPP is always associated with a high fetal mortality rate,and therefore,timely diagnosis and treatment should be provided to improve the prognosis of mother and fetus.
- pancreatitis /
- hypertriglyceridemia /
- pregnant women /
- diagnosis /
- therapy

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参考文献(13)

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