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目的探讨妊娠合并急性胰腺炎的诊断和治疗。方法采用回顾性分析方法对我院2005年～2007年8例妊娠合并急性胰腺炎患者临床资料进行分析。结果6例轻症患者经保守治疗痊愈;2例重症患者经保守治疗病情加重,其中1例给予剖宫产终止妊娠,同时行外科手术,另1例中期引产,最终2例重症患者均痊愈。结论血、尿淀粉酶测定,B超和CT检查对妊娠合并急性胰腺炎的诊断有重要价值;轻症患者保守治疗效果好,重症患者适时终止妊娠同时行外科手术,可确保母婴安全。
Objective To investigate the diagnosis and treatment of pregnancy complicated with acute pancreatitis. Methods The clinical data of 8 patients with pregnancy complicated with acute pancreatitis in our hospital from 2005 to 2007 were analyzed retrospectively. Results Six patients with mild disease were cured by conservative treatment. Two patients with severe disease were cured by conservative treatment. One patient was given cesarean section termination of pregnancy while undergoing surgery and the other one was induced by mid-term labor. Finally, two patients with severe disease were cured. Conclusions Blood, urine amylase, B ultrasound and CT examination are of great value in the diagnosis of pregnancy complicated with acute pancreatitis. The conservative treatment in mild cases is effective. The severe patients can terminate the pregnancy at the right time and perform surgery simultaneously to ensure the safety of mother and infant.