The management of the acute pancreatitis during middle or late stage of pregnancy
- VernacularTitle:妊娠中晚期伴发急性胰腺炎的临床特点及治疗经验
- Author:
Jin XU
;
Xianmin BU
;
Xianwei DAI
- Publication Type:Journal Article
- Keywords:
Pancreatitis /ther;
Pregnacy Complications;
Pregnacy Trimester,Third;
Pregnacy Trimester,Second
- From:
Chinese Journal of General Surgery
1993;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the therapeutic modalities and clinical characters of acute pancreatitis (AP) in the middle or late stage of pregnancy.Methods There were 26 cases of AP in the middle or late stage of pregnancy, among which 18 cases (69.2 %) received conservative therapy, and 8 cases (30.8 %) underwent operation for removal of necrotic tissue and termination of pregnancy.Results Two cases of both fetus and mother death occurred, whereas 24 mothers were cured. 15 (57.7 %) fetuses were healthy but 11(42.3 %) died.Conclusions The women in middle and late stage of pregnancy are inclined to pancreatitis because of hormonal changes, especially in those with history of cholecystitis and cholelithiasis. The main method of management is active non-operative therapy and surgical intervention when necessary, so as to decrease the tragedy of both maternal and fetal death.
