PDF(Pubmed)
Abstract：
Hypertriglyceridemia-induced acute pancreatitis seldom occurs in the second trimester of pregnancy with gestational diabetes mellitus. For these patients, the existing knowledge on concomitant hyperglycemia is not sufficient. We report a case of abruptio placentae and epileptic seizure following perinatal hyperglycaemia in woman with gestational diabetes mellitus and hypertriglyceridemia-induced acute pancreatitis. The occurrence of abruptio placentae and epileptic seizure may be associated with concomitant hyperglycemia, and the epileptic seizure was terminated after she underwent treatment with insulin. We should pay more attention to the adverse effects of perinatal hyperglycemia and continue to give appropriate insulin treatment even if patients have passed the acute phase of hypertriglyceridemia-induced acute pancreatitis.
摘要：
高甘油三酯血症引起的急性胰腺炎很少发生在妊娠糖尿病的妊娠中期。对于这些患者来说,关于伴随高血糖的现有知识不足.我们报告了一例妊娠糖尿病和高甘油三酯血症诱发的急性胰腺炎围产期高血糖后胎盘早剥和癫痫发作的病例。胎盘早剥和癫痫发作的发生可能与伴随的高血糖有关。在接受胰岛素治疗后，癫痫发作终止。即使患者已度过高甘油三酯血症诱发的急性胰腺炎急性期,我们也应更加重视围产期高血糖的不良反应,继续给予适当的胰岛素治疗。
