摘要
目的探讨妊娠期急性胰腺炎并发肾功能损害的临床特点及诊治方法。方法回顾性分析我院2002年1月～2010年4月收治的妊娠期急性胰腺炎患者并发肾功能损害的患者13例的临床资料。结果 7例轻型患者中6例治愈,1例进展成为重症后并发急性肾衰竭死亡;6例重症患者中4例并发急性肾衰竭,经连续性静脉-静脉血液滤过(CVVH)治疗后,2例死亡,2例治愈出院。孕妇死亡3例,胎儿死亡6例。结论妊娠期急性胰腺炎易并发肾功能损害,引起急性肾衰竭,导致母婴双亡。接诊医师应当提高警惕,及时发现并尽早进行综合治疗,必要时可终止妊娠。
Objective To discuss the clinical features,diagnosis and treatment in APIP complicated with renal function injury（RFI）.Methods Thirteen cases of APIP complicated with RFI from Jan.2002 to Apr.2010 were collected.Results There were 7 cases of mild acute pancreatitis（MAP）,of whom 6 cases cured,one patient died of acute renal failure（ARF）.There were 4 patients complicated with ARF in 6 cases of severe acute pancreatitis（SAP）.Two patients died after CVVH,two patients cured.In total,3 pregnant women and 6 fetuses died.Conclusion APIP patients are prone to damage the kidney function even result in ARF.At last make the pregnant woman and fetus both died.Obstetricians and surgeons ought to be vigilant,find a properly comprehensive treatment as soon as possible.The termination of pregnancy is needed when necessary.
出处
《肝胆胰外科杂志》
CAS
2011年第1期35-37,共3页
Journal of Hepatopancreatobiliary Surgery
关键词
妊娠
急性胰腺炎
肾功能损害
诊断
治疗方案
pregnancy
acute pancreatitis
renal function injury
diagnosis
treatment protocols
