Ido Yumi, Gushima Ryosuke, Ozaki Tetsu, Maki Youko, Nonaka Kouichi, Kaku Eisuke, Murao Tetsuya, Naoe Hideaki, Yokomine Kazunori, Sakurai Kouichi, Sasaki Yutaka
Department of Gastroenterology and Hepatology, Kumamoto University, Japan.
Nihon Shokakibyo Gakkai Zasshi. 2012 Jul;109(7):1236-42.
A 29-year-old pregnant woman was referred to our hospital with suspected acute pancreatitis. On admission, the serum levels of pancreatic enzyme, total cholesterol and triglyceride were markedly elevated, which suggesting acute pancreatitis with hyperlipidemia. Treatment consisted of continuous hemodiafiltration, LDL apheresis, heparin and insulin combination therapy. On the 24th day of hospitalization, a cesarean section delivery resulted in the birth of a healthy infant. We reported a case of hyperlipidemia-induced acute pancreatitis in a woman with second trimester pregnancy, where multidisciplinary treatment was quite effective.
一名29岁的孕妇因疑似急性胰腺炎被转诊至我院。入院时，血清胰酶、总胆固醇和甘油三酯水平显著升高，提示为高脂血症性急性胰腺炎。治疗包括持续血液透析滤过、低密度脂蛋白分离术、肝素和胰岛素联合治疗。住院第24天，剖宫产分娩出一名健康婴儿。我们报告了一例孕中期高脂血症性急性胰腺炎的病例，多学科治疗效果显著。
