Abstract:

【Abstract】 Objective To investigate the management of pregnancy-associated hyperlipidemic severe acute pancreatitis. Methods We retrospectively analyzed the clinical data of 27 cases of pregnancy-associated hyperlipidemic severe acute pancreatitis admitted January 2002 to January 2013, the Third Affiliated Hospital of Guangzhou Medical University. Results Among the 27 paPtients, 4 patients died, the cure rate of 85.1%. 17 cases of surgical treatment, hemodialysis filtration in the treatment of 21 cases, the average length of stay of 43 days survival cases. Conclusion Treatment of pregnancy-associated hyperlipidemic severe acute pancreatitis focused on reducing TG levels, treatment of pancreatitis, mainly to protect pregnant women and fetuses; timely development of a comprehensive treatment program for gestational hyperlipidemic severe acute pancreatitis, carefully choose the timing of surgery and the surgical approach, simultaneously multidisciplinary collaboration rescue help to improve efficacy.

Key words: Pancreatitis, Pregnancy complications, Hyperlipidemia

摘要：

【摘要】 目的 探讨妊娠并发高血脂性重症胰腺炎(hyperlipidemic severe acute pancreatitis，HLSAP）临床诊断与治疗特点。方法 回顾性分析2002年1月一2013年1月广州医学院第三附属医院收治妊娠并发高血脂性重症胰腺炎患者27例临床资料。结果 27例患者，死亡4例，治愈23例，治愈率85．1％。手术治疗17例，应用血液透析滤过治疗21例，存活病例平均住院43天。结论 妊娠并发高血脂性重症胰腺炎的治疗以主要致力于降低TG含量、治疗胰腺炎、保护孕妇和胎儿为主；及时制定适合妊娠期高脂血症性重症胰腺炎的综合性治疗方案，慎重地选择外科手术时机及手术方式，同时多学科协作抢救有利于提高疗效。

关键词: 胰腺炎, 妊娠并发症, 高脂血症