| English |
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| Title | CHDF saved a patient with acute pancreatitis and hyperlipidemia at the terminal stage of gestation |
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| Subtitle | |
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| Authors | Ryu Okutani*, Yoshinobu Arimura*, Yoshiyuki Tsuji**, Chikara Tashiro* |
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| Authors(kana) | |
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| Organization | *Intensive Care Unit and Obsterios and Gynecology, Hyogo College of Medicine and Hospital |
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| Journal | Circulation Control |
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| Volume | 23 |
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| Number | 3 |
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| Page | 316-320 |
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| Year/Month | 2002/ |
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| Article | Report |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | Introduction Acute pancreatitis is rare during pregnancy or puerperium with only , about 100 cases reported so far in Japan. It often results in death of both mother and fetus, making the early diagnosis and treatment of acute abdominal disorders during pregnancy an urgent priority. In this report, we describe a case of acute pancreatitis complicated by hyperlipidemia that occurred during the terminal stage of pregnancy, and review the characteristics of 49 previously reported cases1〜3). Case presentation The patient was a 35-year-old woman who was pregnant twice previously with normal childbrth. She was 160cm tall and weighed 67kg. Nothing in the patient’s history suggested alcohol addiction or cholelithiasis. Her mother had mild hyperlipidemia. The patient had a history of toxemia of pregnancy at the birth of her first child in 1996 and of hyperlipidemia at birth of her second child in 1999. Both children were delivered vaginally and were healthy. The third pregnancy proceeded normally, but the patient complained of nausea on the 5th day of the 38th week of gestation （January 9, 2001）. |
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| Practice | Basic medicine |
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| Keywords | acute pancreatitis, hyperlipidemia, parturient Plasma exchange, contineous hemodiafiltratio |
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