课件：急性胰腺炎与妊娠.ppt

致力于数据挖掘，合同简历、论文写作、PPT设计、计划书、策划案、学习课件、各类模板等方方面面，打造全网一站式需求 * * * * Dept. Digestive Diseases， Ji Wansheng Dept. Digestive Diseases， Ji Wansheng Dept. Digestive Diseases， Ji Wansheng Dept. Digestive Diseases， Ji Wansheng Dept. Digestive Diseases， Ji Wansheng Dept. Digestive Diseases， Ji Wansheng Dept. Digestive Diseases， Ji Wansheng Dept. Digestive Diseases， Ji Wansheng Dept. Digestive Diseases， Ji Wansheng Dept. Digestive Diseases， Ji Wansheng Dept. Digestive Diseases， Ji Wansheng Dept. Digestive Diseases， Ji Wansheng 妊娠期胰腺炎 附属医院消化内科 * Dept. Digestive Diseases， Ji Wansheng * * Dept. Digestive Diseases， Ji Wansheng * * Dept. Digestive Diseases， Ji Wansheng * 一位怀孕七个多月孕妇在喝了两碗老母鸡汤后，突然呕吐、腹痛难忍，被送到某医院，确诊为急性胰腺炎。 在８０００个孕妇中，可能有一个会因为妊娠而引发急性胰腺炎，肥胖大大增高患病几率。作为一名重达７６公斤的孕妇，广州的王女士刚刚从死亡线上捡回了一条性命，但是这种罕见的疾病还是夺去了她孩子的生命。 * Dept. Digestive Diseases， Ji Wansheng * Acute pancreatitis rarely complicates pregnancy. Acute pancreatitis complicated 1 in 3300 pregnancies at a large public hospital in Dallas, Texas, whereas in southern California 1 in 1500 women were affected. Other published reports cite incidences ranging widely from 1 in 1000 to 1 in 12,000 live births. Although most pregnant women with acute pancreatitis have associated gallstones, less common causes such as trauma, drugs, and ethanol ingestion have also been reported. We report the case of a woman who developed severe acute necrotizing pancreatitis that required 14 days of intensive care following medical abortion. * Dept. Digestive Diseases， Ji Wansheng * Aetiology 胆系结石。 妊娠期间，胆固醇?； 孕激素???胆管松弛和胆囊排空减缓； 中后期，增大子宫压迫，胆汁排泄不畅，易成石。 逐渐上抬的子宫直接会压迫胰腺??胰管内压?，胰液排出不畅； 妊娠高脂血症； 药物：如可待因。 * Dept. Digestive Diseases， Ji Wansheng * 高脂、高蛋白饮食 诱因 * Dept. Digestive Diseases， Ji Wansheng * Manifestation 突发腹痛 诱因 常见症状 体征 系统表现 * Dept. Digestive Diseases， Ji Wansheng * 注意与早产鉴别 注意区分轻重型胰腺炎 * Dept. Digestive Diseases， Ji Wansheng * （一）Ranson诊断标准（分两部分） 第一部分，入院时：（1）年龄55岁；（2）血糖11.2mmol/l；（3）白细胞16*10^9/L；（4）ALT250u/l；（5）LDH350u/l。 第二部分，入院48小时后：（1）血细胞比容下降10