Clinical analysis of pregnancy complicating acute pancreatitis

LI Yan; CAO Yuan-yuan; ZHAO Jian-chun

Abstract：Objective:To investigate the pathogenesis,early diagnosis and treatment of pregnancy complicating acute pan-creatitis(APIP). Methods:Retrospective analysis the 15 cases′ clinical data of pregnancy complicating acute pancreatitis from March 2011 to March 2014 in First people′s Hospital of Yancheng. Results:Eleven cases of mild patients adopted the conserva-tive treatment,no one case proceeded the cesarean section as the pancreatitis,infant and mom all discharge from hospital healthly. In the 4 cases of severe patients,1 case had pregnant for 15 weeks,and proceeded the drug induced labor + endo-scopic retrograde cholangio pancreatography( ERCP)nipple incision to remove bile duct calculi + endoscopic nasobiliary drainage. 1 case of pregnant for 32 weeks,the illness has been developing rapidly,emergency cesarean delivery termination,no newborn babies;1 case pregnant for 34 weeks,stillbirth combined multiple organ function damage,transvaginal childbirth;1 case of pregnant for 38 weeks,emergency cesarean delivery as the fetal distress,intraoperative peripancreatic drainage at the same time,neonatal severe neonatal asphyxia conservative therapy,and the pregnant women were all cured. Conclusion:The in-cidence of pregnancy complicating acute pancreatitis is low,mainly happened in late pregnancy,gallbladder disease and hyper-lipidemia is the main cause,dynamic observation of blood urine amylase and ultrasound or CT examination has important value in early diagnosis. Pregnant complicating mild pancreatitis not the indications of cesarean delivery,the conservative treatment effect is good. Pregnancy complicating severe pancreatitis should get individualized treatment,priority to ensure the safety of pregnant women,cesarean delivery in time,pregnancy termination methods prefer cesarean delivery,intraoperative correspond-ing surgical treatment should be considered.