What are the symptoms of pancreatitis during pregnancy?

summary

Acute pancreatitis during pregnancy has always been an important disease threatening the health of mothers and infants. Studies have shown that the incidence of acute pancreatitis in pregnancy is about 0.03% ~ 0.1%. According to the current literature, it can occur in all stages of pregnancy and postpartum, and is common in late pregnancy. With the improvement of living standards and changes in diet structure, the incidence rate has increased in recent years. However, it is characterized by acute onset, rapid progress and many complications, which can be misdiagnosed due to atypical clinical manifestations. Once the occurrence of acute pancreatitis in pregnancy, it will pose a serious threat to the safety of mother and infant. What are the symptoms of pancreatitis during pregnancy? Let's talk about it.

What are the symptoms of pancreatitis during pregnancy?

Nausea, vomiting and epigastric pain are the three major symptoms of acute pancreatitis in pregnancy. Most of the pain is persistent distending pain in the middle and upper abdomen or pain in the left upper abdomen radiating to the back. There is no relief after vomiting. Some patients have greasy diet before the attack. The possibility of acute pancreatitis should be considered in any abdominal pain during pregnancy, because the abdominal pain can be mild or even atypical, while nausea and vomiting are more serious and frequent in early pregnancy. In the third trimester of pregnancy, especially in the labor stage, the sudden epigastric distending pain of acute pancreatitis is often confused with uterine contraction pain.

However, the symptoms and signs of abdominal pain during the attack may not be typical, which should be differentiated from acute pneumonia, penetrating duodenal ulcer, rupture of spleen, acute appendicitis, rupture of ectopic pregnancy, hyperemesis gravidarum and preeclampsia.

The diagnosis of acute pancreatitis needs to be combined with previous medical history, clinical manifestations, laboratory and imaging examination. For the patients who had a history of biliary tract disease, pancreatitis, diabetes and familial hyperlipidemia before pregnancy, once they have acute abdominal pain during pregnancy, the possibility of acute pancreatitis should be considered.

matters needing attention

The load of circulatory system increases during pregnancy. The fluctuation of hormone level is easy to lead to the disorder of internal environment. During the treatment of pancreatitis, regular fluid resuscitation should be carried out in time, organ function maintenance should be strengthened, and hypertonic, hyperglycemic and water electrolyte disorder should be corrected in time. Dynamic monitoring of blood glucose, electrolytes and blood gas was added. Insulin was used to control blood glucose, correct metabolic disorders and reduce the impact on the fetus.