Diagnosis and treatment of hypertriglyceridemic pancreatitis in pregnancy

Objective To investigate the clinical diagnosis and treatment of hypertriglyceridemic pancreatitis in pregnancy( HPP). Methods The clinical data of 29 patients with HPP who were admitted to Yulin Hospital of Traditional Chinese Medicine from June 2005 to June2015 were retrospectively analyzed. Results Of all the 29 patients,5( 17. 2%) were in the first trimester and 24( 82. 8%) were in the third trimester; among them,8( 27. 6%) had mild pancreatitis,14( 48. 3%) had moderate pancreatitis,and 7( 24. 1%) had severe pancreatitis. The patients had a mean serum triglyceride level of 15. 5 mmol/L. No pregnant women died; the mortality rate of the fetuses reached 17. 2%( 5/29),and all of the five cases were intrauterine fetal death. Conclusion Although the prevalence of HPP is low,its incidence rate is increasing gradually,and HPP is commonly seen in the third trimester. HPP is always associated with a high fetal mortality rate,and therefore,timely diagnosis and treatment should be provided to improve the prognosis of mother and fetus.