Early diagnosis of acute pancreatitis in pregnancy
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摘要: 妊娠期急性胰腺炎是妊娠期罕见且严重的并发症之一,发病急、病情进展迅速、诊断困难,严重威胁母婴健康。准确判断妊娠期急性胰腺炎的病因、尽早确定诊断是临床处理的关键。从妊娠期急性胰腺炎的病因,早期诊查方法及常见疾病的鉴别诊断等方面归纳总结了近年来该病早期诊断的进展。Abstract: Acute pancreatitis in pregnancy is one of the rare and serious complications in pregnancy and has sudden onset,rapid disease progression,and difficulty in diagnosis,and thus it greatly threatens the health of mother and infant. Accurate judgement of the etiology of acute pancreatitis in pregnancy and confirmed diagnosis as early as possible are the key to successful clinical treatment. This article summarizes the recent advances in the early diagnosis of this disease from the aspects of etiology of acute pancreatitis in pregnancy,methods for early diagnosis and examination,and differential diagnosis of this disease from other diseases.
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Key words:
- pancreatitis /
- pregnancy complications /
- early diagnosis /
- diagnosis,differential
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[1] GANGAT ARS,MUHAMMAD A,SAHER F,et al.Frequency of acute pancreatitis in pregnancy and it's outcome[J].Pakistan J Surg,2009,25(2):69-71. [2]MARINGHINI A,LANKISCH MR,ZINSMEISTER AR,et al.Acute pancreatitis in the postpartum period:A population-based casecontrol study[J].Mayo Clin Proc,2000,75(4):361-364. [3] LUO L,ZEN H,XU H,et al.Clinical characteristics of acute pancreatitis in pregnancy:Experience based on 121 cases[J].Arch Gynecol Obstet,2018,297(2):333-339. [4]MALI P.Pancreatitis in pregnancy:Etiology,diagnosis,treatment,and outcomes[J].Hepatobiliary Pancreat Dis Int,2016,15(4):434-438. [5] CARP D,DIACONESCU D,BADIU DC,et al.Abdominal pain in pregnancy:Acute pancreatitis-a case report[J].JSS,2016,3(4):203-206. [6] GENG Y,LI W,SUN L,et al.Severe acute pancreatitis during pregnancy:Eleven years experience from a surgical intensive care unit[J].Dig Dis Sci,2011,56(12):3672-3677. [7] DUCARME G,MAIRE F,CHATEL P,et al.Acute pancreatitis during pregnancy:A review[J].J Perinatol,2014,34(2):87-94. [8]XU Q,WANG S,ZHANG Z.A 23-year,single-center,retrospective analysis of 36 cases of acute pancreatitis in pregnancy[J].Int J Gynaecol Obstet,2015,130(2):123-126. [9] WANG SH,CHOU YC,SHANGKUAN WC,et al.Relationship between plasma triglyceride level and severity of hypertriglyceridemic pancreatitis[J].PLo S One,2016,11(10):e0163984. [10] ATHAR S,RAMAWAT J,ABDEL AZIZ M,et al.Hypertriglyceridemia induced acute pancreatitis in pregnancy:Learning experiences and challenges of a Case report[J].Clin Obstet Gynecol,2019,2(1):6-12. [11]GOLDBERG AS,HEGELE RA.Severe hypertriglyceridemia in pregnancy[J].J Clin Endocrinol Metab,2012,97(8):2589-2596. [12]GAO ZY,ZOU J,XU LZ.Clinical analysis of severe acute pancreatitis during pregnancy[J].Chin J Health Care Med,2008,10(3):189-191.(in Chinese)高志英,邹杰,徐兰枝.妊娠期重症急性胰腺炎的临床分析[J].中华保健医学杂志,2008,10(3):189-191. [13] TANG M,XU JM,SONG SS,et al.Evaluation and prognosis of 17cases of pregnancy complicated with acute pancreatitis[J].Chin JDig,2016,36(4):274-276.(in Chinese)唐敏,许建明,宋莎莎,等.妊娠合并急性胰腺炎17例的病情评估及其预后[J].中华消化杂志,2016,36(4):274-276. [14]ABDULLAH B,KATHIRESAN PILLAI T,CHEEN LH,et al.Severe acute pancreatitis in pregnancy[J].Case Rep Obstet Gynecol,2015,2015:239068. [15]LIU RX,WANG J,YIN CH.Diagnosis and treatment of severe acute pancreatitis in pregnancy[J].Chin J Med,2016,51(2):32-34.(in Chinese)刘瑞霞,王婧,阴赪宏.妊娠合并重症急性胰腺炎的诊断与治疗[J].中国医刊,2016,51(2):32-34. [16]JIN J,YU YH,ZHONG M,et al.Analyzing and identifying risk factors for acute pancreatitis with different etiologies in pregnancy[J].J Matern Fetal Neonatal Med,2015,28(3):267-271. [17]CLEMENS DL,SCHNEIDER KJ,ARKFELD CK,et al.Alcoholic pancreatitis:New insights into the pathogenesis and treatment[J].World JGastrointest Pathophysiol,2016,7(1):48-58. [18]RAMIN KD,RAMSEY PS.Disease of the gallbladder and pancreas in pregnancy[J].Obstet Gynecol Clin North Am,2001,28(3):571-580. [19] BANKS PA,BOLLEN TL,DERVENIS C,et al.Classification of acute pancreatitis-2012:Revision of the Atlanta classification and definitions by international consensus[J].Gut,2013,62(1):102-111. [20]TANG M,XU JM.Research progress of pregnancy with acute pancreatitis[J].Chin J Pancreatol,2019,19(5):386-391.(in Chinese)唐敏,许建明.妊娠合并急性胰腺炎研究进展[J].中华胰腺病杂志,2019,19(5):386-391. [21]AUGUSTIN G,MAJEROVIC M.Non-obstetrical acute abdomen during pregnancy[J].Eur J Obstet Gynecol Reprod Biol,2007,131(1):4-12. [22]HERNANDEZ A,PETROV MS,BROOKS DC,et al.Acute pancreatitis and pregnancy:A 10-year single center experience[J].J Gastrointest Surg,2007,11(12):1623-1627. [23]JOHNSON A,CLUSKEY B,HOOSHVAR N,et al.Significantly elevated serum lipase in pregnancy with nausea and vomiting:Acute pancreatitis or hyperemesis gravidarum?[J].Case Rep Obstet Gynecol,2015,2015:359239. [24] WU BU,JOHANNES RS,SUN X,et al.The early prediction of mortality in acute pancreatitis:A large population-based study[J].Gut,2008,57(12):1698-1703. [25] TENNER S,BAILLIE J,DEWITT J,et al.American College of Gastroenterology guideline:Management of acute pancreatitis[J].Am JGastroenterol,2013,108(9):1400-1415;1416. [26] ZHANG L,WANG Y,HAN J,et al.Neutrophil-lymphocyte ratio,gamma-glutamyl transpeptidase,lipase,high-density lipoprotein as a panel of factors to predict acute pancreatitis in pregnancy[J].Medicine(Baltimore),2018,97(26):e11189. [27]YUAN J,MENG F,TANG XW,et al.Clinical features and prognosis of acute pancreatitis in pregnancy[J].J Clin Hepatol,2019,35(1):138-142.(in Chinese)袁景,孟飞,汤小伟,等.妊娠合并急性胰腺炎的临床特征与预后分析[J].临床肝胆病杂志,2019,35(1):138-142. [28]SHEN YZ,WANG KJ,HUANG J,et al.Clinical value of serum lipase,interleukin-6 and platelet activating factor in early prediction and diagnosis of post-endoscopic retrograde cholangiopancreatography pancreatitis[J].Chin J Med Offic,2018,46(7):737-740.(in Chinese)沈颖洲,王旷靖,黄锦,等.血清脂肪酶、白细胞介素-6及血小板活化因子对内镜逆行胰胆管造影术后胰腺炎早期预测及诊断价值研究[J].临床军医杂志,2018,46(7):737-740. [29]CROCKETT SD,WANI S,GARDNER TB,et al.American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis[J].Gastroenterology,2018,154(4):1096-1101. [30] FARZANEH F EA,REZAEI R.Acute pancreatitis in a pregnant women at 30-31 weeks of gestational age with complete cure[J].Zahedan J Res Med Sci,2019,21(3):4-7. [31] SHAH AP,MOURAD MM,BRAMHALL SR.Acute pancreatitis:Current perspectives on diagnosis and management[J].J Inflamm Res,2018,11:77-85. [32]ISMAIL OZ,BHAYANA V.Lipase or amylase for the diagnosis of acute pancreatitis?[J].Clin Biochem,2017,50(18):1275-1280. [33]SADOWSKI SM,ANDRES A,MOREL P,et al.Epidural anesthesia improves pancreatic perfusion and decreases the severity of acute pancreatitis[J].World J Gastroenterol,2015,21(43):12448-12456. [34]I·LHAN M,I·LHAN G,GK AF,et al.Evaluation of neutrophillymphocyte ratio,platelet-lymphocyte ratio and red blood cell distribution width-platelet ratio as early predictor of acute pancreatitis in pregnancy[J].J Matern Fetal Neonatal Med,2016,29(9):1476-1480. [35]KOTECHA HM,MCINTOSH LJ,LO HS,et al.What to expect when they are expecting:Magnetic resonance imaging of the acute abdomen and pelvis in pregnancy[J].Curr Probl Diagn Radiol,2017,46(6):423-431. [36]BAKER ME,NELSON RC,ROSEN MP,et al.ACR Appropriateness Criteriaacute pancreatitis[J].Ultrasound Q,2014,30(4):267-273. [37] LEYENDECKER JR,GORENGAUT V,BROWN JJ.MR imaging of maternal diseases of the abdomen and pelvis during pregnancy and the immediate postpartum period[J].Radiographics,2004,24(5):1301-1316. [38]GOTTSCHALK U,GOTTSCHALK E,DIETRICH CF.Symptomatic choledocholithiasis during pregnancy-the role of ultrasound,ERCPand EUS[J].Z Gastroenterol,2011,49(4):452-460. [39] ZACHARIAH SK,FENN M,JACOB K,et al.Management of acute abdomen in pregnancy:Current perspectives[J].Int J Womens Health,2019,11:119-134. [40] MARTINELLI KG,GARCIAM,SANTOS NETO E,et al.Advanced maternal age and its association with placenta praevia and placental abruption:A meta-analysis[J].Cad Saude Publica,2018,34(2):e00206116. [41] DEROO L,SKJRVEN R,WILCOX A,et al.Placental abruption and long-term maternal cardiovascular disease mortality:A population-based registry study in Norway and Sweden[J].Eur J Epidemiol,2016,31(5):501-511.
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