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目的总结并探讨妊娠合并急性胰腺炎(AP)的临床诊断和治疗。方法回顾性分析15例妊娠合并急性胰腺炎患者的临床资料。结果15例孕妇无死亡病例,11例轻型胰腺炎患者采用保守治疗痊愈,新生儿均存活。4例重型胰腺炎患者,1例行引产,2例行剖宫产术,1例并发中毒性休克的患者,胎死宫内,孕妇抢救成功,预后良好。结论对于妊娠合并急性胰腺炎产妇早期诊断,恰当的治疗,可最大程度地确保母婴安全。
Objective To summarize and discuss the clinical diagnosis and treatment of pregnancy complicated with acute pancreatitis (AP). Methods The clinical data of 15 patients with pregnancy complicated with acute pancreatitis were retrospectively analyzed. Results 15 cases of pregnant women without death, 11 cases of patients with mild pancreatitis cured by conservative treatment, neonatal survival. 4 patients with severe pancreatitis, 1 case of induced abortion, 2 cases of cesarean section, 1 case of patients with toxic shock, fetal death, pregnant women rescue success, the prognosis is good. Conclusions For maternal early pregnancy diagnosis and proper treatment of pregnancy complicated with acute pancreatitis, maternal and infant safety can be ensured to the maximum extent.