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妊娠合并急性胰腺炎发病率1/10 000~1/1000,初产妇多于经产妇,常好发于妊娠晚期和产后5个月内~([1])。其中,约80%的患者病情较轻,胰腺病理变化只表现为充血和水肿,称之为急性水肿性胰腺炎,可经非手术方法治愈;约20%的患者病情较重,胰腺病理变化可发展为出血和坏死,称之为急性出血性坏死性胰腺炎或重症胰腺炎,须采取手术治疗。本病复发率50%,常在妊娠期复发,具有发病急、并发症多、病死率高等
The incidence of acute pancreatitis complicated by pregnancy is 1/10 000 ~ 1/1000. More primipara than maternal, often occurs in late pregnancy and 5 months after delivery ~ ([1]). Among them, about 80% of patients have mild disease, and pancreatic pathology shows only congestion and edema, which is called acute edematous pancreatitis and can be cured by non-surgical methods. About 20% of patients have severe disease and pancreatic pathological changes can be Development of bleeding and necrosis, known as acute hemorrhagic necrotizing pancreatitis or severe pancreatitis, to be taken surgical treatment. The recurrence rate of 50% of the disease, often recurrence during pregnancy, with the onset of acute complications and higher mortality