妊娠合并急性胰腺炎诊治分析

Analysis of Diagnosis and Treatment of Acute Pancreatitis in Pregnancy

摘要: 目的：探讨妊娠合并急性胰腺炎的临床特点和诊治方法。方法：回顾分析2018年3月~2021年6月广东省妇幼保健院收治的4例妊娠合并急性胰腺炎患者的临床资料。结果：1例血淀粉酶偏高；2例尿淀粉酶偏高，腹部B超结果提示仅1例符合胰腺炎声像；2例行腹部MRI均提示胰腺炎。患者均先予以保守治疗，2例经保守治疗后好转出院，2例转外院继续治疗。结论：妊娠合并急性胰腺炎多发生在孕晚期。该病的临床表现多伴有下腹痛，伴或不伴有恶心、呕吐等，需早诊断、早治疗，提高对该病的认识和警惕性，避免发生不良结局。

Abstract: Objective: To explore the clinical features, diagnosis and treatment of acute pancreatitis in pregnancy. Methods: A retrospective analysis of the clinical data of 4 pregnant women with acute pancreatitis admitted to the Guangdong Women and Children Hospital from March 2018 to June 2021. Results: The blood amylase of 1 case was high; the urine amylase of 2 cases was high, the results of abdominal B-ultrasound showed that only 1 case was consistent with the ultrasonography of pancreatitis; abdominal MRI of 2 cases showed pancreatitis. The patients were treated conservatively first, 2 cases were improved and discharged after conservative treatment, and 2 cases were transferred to another hospital to continue treatment. Conclusion: Acute pancreatitis in pregnancy mostly occurs in the third trimester. The clinical manifestations of the disease are mostly accompanied by lower abdominal pain with or without nausea and vomit, and early diagnosis and treatment are needed to increase awareness and vigilance of the disease to avoid adverse outcomes.