论文部分内容阅读
目的探讨妊娠期急性胰腺炎的临床特点及误诊原因。方法回顾性分析首诊于郑州市第一人民医院急诊科2000年1月至2011年6月12例妊娠期急性胰腺炎患者的临床资料。结果本组12例患者初诊时均存在误诊及诊断不清,经确诊8例行手术治疗,方式为剖宫产、胰腺被膜切开、胰床松懈、腹腔引流术,4例保守治疗。本组患者无孕产妇死亡。结论妊娠期急性胰腺炎是妊娠期少见的消化系统急危重症,误诊率高,急诊医师要提高对本病的认识,动态检测血、尿淀粉酶,及早行腹部B超、CT检查,是避免误诊的关键所在。
Objective To investigate the clinical features and misdiagnosis of acute pancreatitis during pregnancy. Methods The clinical data of the patients diagnosed as acute pancreatitis during the first trimester of emergency department of Zhengzhou First People ’s Hospital from January 2000 to June 2011 were retrospectively analyzed. Results The group of 12 patients had misdiagnosis and unclear diagnosis at initial diagnosis. Eight patients were diagnosed as surgically treated by cesarean section, pancreatectomy, laxative pancreas and peritoneal drainage, and conservative treatment was performed in 4 patients. This group of patients without maternal deaths. Conclusions Acute pancreatitis in pregnancy is a rare digestive emergency in pregnancy. The rate of misdiagnosis is high. Emergency physicians should raise awareness of the disease. Dynamic detection of blood and urine amylase, early abdominal ultrasound and CT examination should be avoided. The key to misdiagnosis.