Bernard P, Lopez J F, Kitmacher P, Doublier C, Peyretou C
Service de Gynécologie-Obstétrique, CHU de Grenoble.
J Gynecol Obstet Biol Reprod (Paris). 1990;19(8):1006-10.
The authors report a case of acute pancreatitis occurring at the end of pregnancy. Pancreatitis and pregnancy in association with one another is a very serious condition. Research of the literature shows that the maternal mortality is 37% and the perinatal mortality 37.9%. These results mean that it is very important to make the diagnosis as early as possible and to work out the treatment to be given after the Caesarean operation so as to minimise the ill effects for the mother and the infant. The diagnosis is made by ultrasound of the abdomen and the levels of the amylase in the blood. It is possible to work out a correct management for these patients. The first priority is to deliver the fetus as soon as possible after the 34th week of amenorrhoea. The treatment should be multi-disciplinary and at the Caesarean there should be present an obstetrician, a surgeon who specialises in bowel conditions, a gastroenterologist and a neonatologist.
作者报告了一例在妊娠末期发生急性胰腺炎的病例。胰腺炎与妊娠相互关联是一种非常严重的情况。文献研究表明，孕产妇死亡率为37%，围产儿死亡率为37.9%。这些结果意味着尽早做出诊断并制定剖宫产术后的治疗方案以尽量减少对母亲和婴儿的不良影响非常重要。通过腹部超声和血液中淀粉酶水平进行诊断。为这些患者制定正确的治疗方案是可行的。首要任务是在停经34周后尽快娩出胎儿。治疗应是多学科的，剖宫产时应有产科医生、肠道疾病专科外科医生、胃肠病学家和新生儿科医生在场。
