title: [Clinical analysis of acute hyperlipidemic pancreatitis during pregnancy and postpartum period].
abstract: OBJECTIVE
  To describe the characteristics of acute pancreatitis during pregnancy and postpartum.
  
  
  METHODS
  From 1994 to 2012, 18 cases of gravida and postpartum women complicated with acute pancreatitis were treated at Peking University Third Hospital and retrospective analysis was performed.
  
  
  RESULTS
  The admission rate due to acute pancreatitis was 41.24 per 100 000 admission. The median age was 32.0 (28.0, 34.7) years, with the onset of acute pancreatitis on 35.0 (23.5, 37.0) weeks'gestation. Of all the cases, 13 (72.2%) were interstitial edematous acute pancreatitis, and 5 (27.8%) were necrotizing. Nine (50.0%) were caused by hyperlipidemia, of which 7 (38.9%) were caused by gallstones, and 2 (1.1%) were idiopathic. Stratified by severity, 6 (33.3%) were mild, 7 (38.9%) were moderately severe and 5 (27.8%) were severe, of which 8 were transferred to Intensive Care Unit. Compared with non-hyperlipidemic acute pancreatitis, cases caused by hyperlipidemia were more severe, however, the prognoses of mothers and infants were good.
  
  
  CONCLUSIONS
  The incidence of acute pancreatitis during pregnancy and postpartum was similar to that of the regular population, and mostly caused by gallstones and hyperlipidemia. Although acute hyperlipidemic pancreatitis is more severe, the morbidity and mortality of maternal and perinatal could be decreased by aggressive therapy.
authors.affiliation: Department of Critical Care Medicine, Peking University Third Hospital, Beijing 100191, China.
authors.forename: Hong-liang
authors.initials: HL
authors.lastname: Li
authors.affiliation: Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China.
authors.forename: Yuan-hui
authors.initials: YH
authors.lastname: Jiang
authors.affiliation: Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Wei
authors.affiliation: Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China.
authors.forename: Yang-yu
authors.initials: YY
authors.lastname: Zhao
authors.affiliation: Department of Critical Care Medicine, Peking University Third Hospital, Beijing 100191, China.
authors.forename: Xi
authors.initials: X
authors.lastname: Zhu
authors.affiliation: Department of Critical Care Medicine, Peking University Third Hospital, Beijing 100191, China.
authors.forename: Gai-qi
authors.initials: GQ
authors.lastname: Yao
mesh_terms: D000208:Acute Disease; D002769:Cholelithiasis; D005260:Female; D006801:Humans; D006949:Hyperlipidemias / Q000150:complications*; D015994:Incidence; D010195:Pancreatitis / Q000150:complications*; D049590:Postpartum Period; D011247:Pregnancy; D011248:Pregnancy Complications; D011379:Prognosis; D012189:Retrospective Studies