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妊娠期高甘油三酯血症性急性胰腺炎：麻醉管理病例报告

Hypertriglyceridemia-Induced Acute Pancreatitis in Pregnancy: A Case Report in Anesthetic Management.

作者信息

Mosavi Jasmine, Romanelli Erik

机构信息

Anesthesiology, Albert Einstein College of Medicine, Bronx, USA.

出版信息

Cureus. 2024 Sep 21;16(9):e69852. doi: 10.7759/cureus.69852. eCollection 2024 Sep.

DOI:10.7759/cureus.69852
PMID:39435233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11493154/
Abstract

Severe hypertriglyceridemia in pregnancy, defined as triglycerides >1000 mg/dL, is a rare but high-acuity condition that can precipitate several complications for the mother and fetus, in particular hypertriglyceridemia-induced acute pancreatitis (HTGAP). The treatments employed in the management of hypertriglyceridemia-induced acute pancreatitis (HTGAP) have the potential to significantly alter the anesthetic course of an impending or emergent delivery. In this report, we present two cases of HTGAP, one complicated by a concomitant COVID-19 infection and each with a unique approach to anesthetic management in the setting of two very different and cofounded clinical presentations.

摘要

孕期严重高甘油三酯血症定义为甘油三酯水平>1000mg/dL，是一种罕见但危急的病症，可引发母亲和胎儿的多种并发症，尤其是高甘油三酯血症诱导的急性胰腺炎（HTGAP）。用于治疗高甘油三酯血症诱导的急性胰腺炎（HTGAP）的方法有可能显著改变即将进行的或急诊分娩的麻醉过程。在本报告中，我们介绍了两例HTGAP病例，其中一例合并COVID-19感染，并且在两种截然不同且复杂的临床表现背景下，每例都采用了独特的麻醉管理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2047/11493154/164d822eaa14/cureus-0016-00000069852-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2047/11493154/8a4ba82c4c32/cureus-0016-00000069852-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2047/11493154/866c4cd75b34/cureus-0016-00000069852-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2047/11493154/164d822eaa14/cureus-0016-00000069852-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2047/11493154/8a4ba82c4c32/cureus-0016-00000069852-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2047/11493154/866c4cd75b34/cureus-0016-00000069852-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2047/11493154/164d822eaa14/cureus-0016-00000069852-i03.jpg

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Management of Hypertriglyceridemia Induced Acute Pancreatitis.高甘油三酯血症性胰腺炎的治疗。
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