Diagnosis and treatment of pregnancy complicated with hyperlipidemic pancreatitis: a report of 12 / 中国医师杂志

ABSTRACT

Objective To investigate the clinical characteristics,diagnosis and treatment of pregnancy complicated with hypedipidemic pancreatitis (HLAP).Methods The clinical data of 12 patients with hyperlipidemic pancreatitis in our hospital from 2010 to 2017 were analyzed retrospectively,including general data,clinical manifestations,laboratory examinations,imaging examinations,treatment methods and prognosis.Results 12 cases of HLAP were mainly occurred in the middle and late pregnancy and often recurs.The main cause of the disease was the high fat diet.The main manifestations of the disease are abdominal pain and vomiting.It may be accompanied by gestational diabetes or hypothyroidism.Blood amylase and lipase are often not significantly elevated,with pseudohyponatremia and abnormal coagulation function.Ultrasonography and computed tomography (CT) are important methods for the diagnosis of HLAP.In 12 cases of HLAP,except for one abortion,all the other 11 cases were successfully treated.Conclusions For pregnancy complicated with hyperlipidemic pancreatitis,prevention is the first,and the key is the correct diagnosis.After combined treatment,the patients usually have a good prognosis.