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頁籤選單縮合
題名 | Acute Pancreatitis in Pregnancy=妊娠急性胰臟炎 |
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作 者 | 張其真; 謝耀元; 蔡鴻德; 楊東川; 葉聯舜; 徐泰彥; | 書刊名 | 中華醫學雜誌 |
卷期 | 61:2 1998.02[民87.02] |
頁次 | 頁85-92 |
分類號 | 417.346 |
關鍵詞 | 急性胰臟炎; 膽道疾病; 高血脂症; 妊娠; Acute pancreatitis; Biliary disease; Hyperlipidemia; Pregnancy; |
語文 | 英文(English) |
中文摘要 | 背景:探討妊娠急性胰臟炎之病因、發生率、病程變化、及對母體及胎兒之影響。 方法:本篇以回溯法追蹤中國醫藥學院附設醫院,從1980到1995,十六年來妊娠急性胰臟炎的十六個病例,發現其中有兩位病人同時患有膽結石及高血脂症,四位有膽結石,七位有高血脂症,一位患有妊娠性糖尿病,一位患有高副甲狀腺症及妊娠高血壓,另外還有一位罹患橋本氏慢性甲狀腺炎。他們均採用保守治療,包含禁止食用有脂肪之食物。 結果:妊娠急性胰臟炎的發生率為6,790分之一。總共有八例早產,其中有兩例胎死腹中,一例新生兒周產期死亡,均無母體死亡,造成母體罹病率主要由於高血脂症(56.3%)及膽結石(37.5%)。所有的病例經過嚴密的觀察及治療之後都恢復良好,並於生產之後病情迅速改善。 結論:早期診斷及早期治療是最重要的。本篇之經驗顯示:妊娠急性胰臟炎之病人經過保守療法治療後,母親的預後良好,而胎兒則較差。胎兒預後差的病例大多發生在母親有高血脂症的一群。當妊娠急性胰臟炎採取保守性療法時,應加強胎兒之觀察與監測。 |
英文摘要 | Background: Acute pancreatitis in pregnancy is rare. Our purpose in this study was to discuss the etiology, incidence and course of pancreatitis in pregnancy and to evaluate the maternal and perinatal outcomes. Methods: Pregnant women with pancreatitis admitted to China Medical College Hospital, Taiwan, from 1980to 1995 were studied retrospectively. A total of 16 patients were enrolled in the study. Two patients had gallstones and hyperlipidemia; four had gallstones alone; seven had hyperlipidemia alone; one had gestational diabetes mellitus; one had hyperparathyroidism and pregnancy-induced hypertension alone; and one had Hashimoto's thyroiditis. Conservative treatment and low-fat diets were administered to the patients. Results: The incidence of gestational pancreatitis in this series was one in 6,790 pregnancies. The fetal outcome included eight preterm deliveries and three fetal losses. There were no maternal mortalities. The etiologies of hancreatitis were primary hyperlipidemia (56.3%) and gallstones (37.5%). All patients responded favorably to supportive therapy, and most of the symptoms subsided after delivery. Conclusions: Early diagnosis and treatment is of utmost importance in the management of acute pancreatitis in pregnancy. The results of this study showed good maternal outcome following appropriate treatment. Fetal prognosis was less favorable and was most often associated with hyperlipidemia. Fetal monitoring is essential during the management of pancreatitis in pregnancy. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。