Li Hong Liang, An Wei Hong, Zhao Yang Yu, Zhu Xi
Department of Critical Care Unit, Peking University Third Hospital, Beijing 100191, China.
Beijing Da Xue Xue Bao Yi Xue Ban. 2009 Oct 18;41(5):599-601.
Gestational hyperlipidemic pancreatitis is an uncommon complication of pregnancy that incurs a high risk of morbidity and mortality of both maternal and fetal patients. We described the response of continous renal replacement therapy in a woman with extreme gestational hyperlipidemia and severe pancreatitis. Five consecutive plasma exchanges didn't lead to a remarkable reduction (10.4% and 4.8%, for the first and fourth times, respectively) at triglyceride levels as the literatures have reported, which reveals that plasma exchange and continous veno-venous heamofiltration may be importment, instead of crucial methods in dealing with gestational hyperlipidemic pancreatitis.
妊娠期高脂血症性胰腺炎是一种罕见的妊娠并发症，母婴患者均有较高的发病和死亡风险。我们描述了一名患有极重度妊娠期高脂血症和重症胰腺炎的女性患者接受连续性肾脏替代治疗的反应。与文献报道的情况不同，连续进行5次血浆置换后，甘油三酯水平并未显著降低（第一次和第四次分别降低了10.4%和4.8%），这表明血浆置换和连续性静脉-静脉血液滤过可能是重要的，但并非处理妊娠期高脂血症性胰腺炎的关键方法。
