[1]高杨 李盛涛 郝文伟.妊娠期胆源性胰腺炎临床诊治[J].中国实用乡村医生杂志,2019,26(12):36-38,41.[doi:10.3969/j.issn.1672-7185.2019.12.012 ]
 GAO Yang,LI Shengtao,HAO Wenwei.Clinical Diagnosis and Treatment of Gallstone Pancreatitis in Gestation Period[J].Chinese Practical Journal of Rural Doctor,2019,26(12):36-38,41.[doi:10.3969/j.issn.1672-7185.2019.12.012 ]
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妊娠期胆源性胰腺炎临床诊治()
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《中国实用乡村医生杂志》[ISSN:1672-7185/CN:21-1502/R]

卷:
26
期数:
2019年12期
页码:
36-38,41
栏目:
临床研究
出版日期:
2019-12-15

文章信息/Info

Title:
Clinical Diagnosis and Treatment of Gallstone Pancreatitis in Gestation Period
文章编号:
 1672-7185(2019)12-0036-04 
作者:
高杨 李盛涛 郝文伟
作者单位:112000 辽宁 铁岭,铁岭市中心医院普通外科
Author(s):
GAO Yang LI Shengtao HAO Wenwei
(Department of General Surgery, Tieling Central Hospital, Tieling 112000, Liaoning Province, China)
关键词:
 胰腺炎胆源性妊娠期诊治
Keywords:
Pancreatitis Biliary Pregnance Clinical Diagnosis and Treatment
分类号:
 R714.255 
DOI:
10.3969/j.issn.1672-7185.2019.12.012
文献标志码:
 A
摘要:
 目的 探讨妊娠期胆源性胰腺炎(G P DP)的临床诊治及治疗经验。方法 回顾性分析2008年1月—2015年1月铁岭市中心医院收治的G P DP患者24例的临床资料。结果 14例轻中度妊娠期胆源性胰腺炎患者中,12例(58.3%)经保守治疗后治愈;1例(妊娠<28周)行灌洗引流术;1例(妊娠>28周)行腹腔镜下胆总管探查取石并胆囊切除灌洗引流术。10例重度妊娠期胆源性胰腺炎患者中,1例因多脏器功能衰竭母婴死亡;2例经内镜或介入治疗后病情好转;7例经手术或微创清创引流后治愈,包括腹腔镜下胆总管探查取石并胆囊切除灌洗引流术2例,腹腔镜下行胆囊切除术、胆总管探查取石及胰腺坏死组织清除灌洗引流流术4例,操作困难中转开腹1例。胎儿共死亡2例。结论 对妊娠期胆源性胰腺炎患者做到早期发现,早期诊断,加强患者及胎儿监护,根据病情的轻重程度及是否合并胆总管结石分别采取有针对性的个体化的综合治疗,成为降低孕妇及胎儿的死亡率的关键。
Abstract:
Objective To investigate the clinical experiences in diagnosis and treatment of biliary pancreatitis in gestation period. Methods The clinical data of 24 pregnant patients with biliary pancreatitis from January, 2008 to January, 2015 were retrospectively analyzed. Results In 24 patients, 12 cased with mild to moderate pregnancy induced biliary pancreatitis (MTMGPDP) (58.3%) cured by conservative treatment, 1 case underwent laparoscopic cholecystectomy combined with choledocholothotomy, lavage and drainage, and 10 cases performed SPDP. Of 10 SPDP patients, one case died of multiple organ failure, two cases improved after endoscope or intervention treatment, and seven cases cured after operation and minimally invasive debridement and drainage (2 cases underwent laparoscopic cholecystectomy combined with choledocholothotomy, lavage and drainage, 4 cases underwent laparoscopic cholecystectomy combined with choledocholothotomy, pancreatic necrosectomy lavage and drainage, and 1 case underwent laparotomy ). The fetal death happened in two cases (8.3%). Conclusion In biliary pancreatitis patients during pregnancy, early dianosis, improvment of the the patients and fetal monitoring, and adoption of individual treatment according to disease degree and whether or not bile duct stone, are important for reducing maternal and fetal mortality.

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备注/Memo

备注/Memo:
收稿日期:2019-06-25)

更新日期/Last Update: 2019-12-31