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一例重症胰腺炎合并子痫前期病例分析。

Analysis of a case of severe pancreatitis complicated with preeclampsia.

作者信息

Xin Xiaoling, Cao Ying, Liu Yaling, Chen Xi, Wei Kaili, Peng Xuan, Cai Wenyan, Yao Jiaxi

机构信息

Department of Obstetrics and Gynecology, the 940th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, P.R. China.

Department of General Surgery II, Hexi University Affiliated Zhangye People's Hospital, P.R. China.

出版信息

J Int Med Res. 2025 May;53(5):3000605251342670. doi: 10.1177/03000605251342670. Epub 2025 May 22.

DOI:10.1177/03000605251342670
PMID:40401563
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12099112/
Abstract

Preeclampsia combined with pancreatitis is a rare condition in pregnant and postpartum women, potentially leading to severe complications. Severe pancreatitis is even more uncommon, making early diagnosis, detection, and appropriate treatment essential. We report the case of a 34-year-old woman who was admitted with scleral jaundice; severe pancreatitis was identified during examination. After magnetic resonance imaging confirmation, prompt and appropriate treatment was provided, resulting in a favorable outcome.

摘要

子痫前期合并胰腺炎在妊娠和产后女性中是一种罕见病症，可能导致严重并发症。重症胰腺炎更为少见，因此早期诊断、检测及恰当治疗至关重要。我们报告一例34岁女性患者，因巩膜黄疸入院；检查时确诊为重症胰腺炎。经磁共振成像确认后，给予及时恰当治疗，预后良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89dc/12099112/f3aa1dd923f5/10.1177_03000605251342670-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89dc/12099112/444a3693fd61/10.1177_03000605251342670-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89dc/12099112/f3aa1dd923f5/10.1177_03000605251342670-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89dc/12099112/444a3693fd61/10.1177_03000605251342670-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89dc/12099112/f3aa1dd923f5/10.1177_03000605251342670-fig2.jpg

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本文引用的文献

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Obstet Med. 2022 Dec;15(4):248-252. doi: 10.1177/1753495X211058321. Epub 2021 Nov 23.
2
HELLP Syndrome.HELLP 综合征。
Crit Care Nurs Clin North Am. 2022 Sep;34(3):277-288. doi: 10.1016/j.cnc.2022.04.009. Epub 2022 Jul 20.
3
Molecular Advances in Preeclampsia and HELLP Syndrome.子痫前期和 HELLP 综合征的分子进展。
Int J Mol Sci. 2022 Mar 31;23(7):3851. doi: 10.3390/ijms23073851.
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Missing or making the timely diagnosis of acute fatty liver of pregnancy (AFLP): lessons learned.错过或未能及时诊断妊娠急性脂肪肝（AFLP）：经验教训。
J Matern Fetal Neonatal Med. 2022 Sep;35(18):3595-3601. doi: 10.1080/14767058.2020.1832075. Epub 2020 Oct 9.
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Pathogenesis of Preeclampsia and Therapeutic Approaches Targeting the Placenta.子痫前期的发病机制和针对胎盘的治疗方法。
Biomolecules. 2020 Jun 24;10(6):953. doi: 10.3390/biom10060953.
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Intrahepatic cholestasis of pregnancy as a risk factor for preeclampsia.妊娠期肝内胆汁淤积症作为子痫前期的一个危险因素。
Arch Gynecol Obstet. 2020 Mar;301(3):655-664. doi: 10.1007/s00404-020-05456-y. Epub 2020 Feb 7.
8
Acute Fatty Liver of Pregnancy.妊娠急性脂肪肝。
Clin Obstet Gynecol. 2020 Mar;63(1):152-164. doi: 10.1097/GRF.0000000000000494.
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The International Federation of Gynecology and Obstetrics (FIGO) initiative on pre-eclampsia: A pragmatic guide for first-trimester screening and prevention.国际妇产科联盟（FIGO）子痫前期倡议：早孕期筛查和预防的实用指南。
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