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妊娠期甲旁亢很少见,自1930~1990年英文文献仅报道100余例,胎儿并发症和死亡率很高,产期并发症可高达50%。妊娠期胰腺炎也很少见,其发生率不足1%,孕妇死亡率可高达37%,早产率达60%,妊娠期同时发生甲旁亢和胰腺炎更为少见,文献报道仅8例。作者报道1例。病人为一27岁初产妇。孕期8周时主诉恶心、呕吐、无力、体重下降14磅。3周后又起腹痛,向背部放射,入院时血白蛋白2.4 g/dL,钙10.5 mg/dL,磷2.1mg/dL,淀粉酶490U/L,脂肪酶5517U/L。腹部B超检查示
Hyperparathyroidism during pregnancy is rare, since the English literature from 1930 to 1990 only reported more than 100 cases of fetal complications and mortality is high, the production of complications up to 50%. Pancreatitis in pregnancy is also rare, the incidence of less than 1%, maternal mortality rate as high as 37%, 60% premature birth rate, while the incidence of pregnancy-induced hyperparathyroidism and pancreatitis is even rare, only 8 reported in the literature. The authors reported 1 case. The patient is a 27-year-old primipara. 8 weeks pregnant during the main complaint of nausea, vomiting, weakness, weight loss 14 pounds. After 3 weeks, abdominal pain and radiation were given to the back. Serum albumin 2.4 g / dL, calcium 10.5 mg / dL, phosphorus 2.1 mg / dL, amylase 490 U / L and lipase 5517 U / L were admitted to hospital. Abdominal B-ultrasound showed