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早期报道常认为妊娠合并急性胰腺炎的特殊病因是妊娠本身。本文作者对21例妊娠和产后早期(分娩6周内)合并胆石胰腺炎病人用外科处理的经验得出一种不同的结论,认为:虽然妊娠有利于胆石的发展而胆石本身才是胰腺炎的特殊病因。从1965～1987年作者对急性与慢性胆囊炎施行1,964例胆囊切除术。226例(11%)患过胆石胰腺炎。152例中有11例(7%)妊娠。另有10例病人于产后6周内发生胆石胰腺炎,21例年龄范围为19～34岁。 21例均行胆囊摘除术,并有或无手术胆管造影术及总胆管探查术。妊娠期行手术的11例中无1例
Early reports often believe that pregnancy with acute pancreatitis is a special cause of pregnancy itself. The authors conclude with a different conclusion from 21 surgically and early postpartum (within 6 weeks of delivery) patients with gallstone pancreatitis treated surgically that the gallstone itself is pancreatitis even though pregnancy favors gallstone development Special etiology From 1965 to 1987, the author performed 1,964 cholecystectomy on acute and chronic cholecystitis. 226 cases (11%) had gallstone pancreatitis. Eleven of 152 patients (7%) were pregnant. Another 10 patients developed gallstone pancreatitis within 6 weeks postpartum, and 21 patients ranged in age from 19 to 34 years. Twenty-one patients underwent cholecystectomy with or without surgical cholangiography and cholangiopancreatography. None of the 11 cases underwent surgery during pregnancy