高脂血症性急性胰腺炎的临床分析

Clinical analysis of Hyperlipidemic Acute Pancreatitis

目的:探讨高脂血症性急性胰腺炎的临床特点及治疗方法。方法:对336例急性胰腺炎患者进行病因分析,并比较高脂血症性急性胰腺炎与胆源性急性胰腺炎的临床表现、实验室指标、治疗方法等方面的差异。结果:与其他原因所致急性胰腺炎相比,其脂肪肝、糖尿病发病率明显升高(P<0.05),甘油三酯升高明显(P<0.05)。结论:及时清除血浆中高浓度的三酰甘油,降低血脂,将有助于急性胰腺炎的症状缓解,改善预后。

Objective To investigate the clinical feature and therapy of acute-hyperlipidemic pancreatitis.Methods An etiologic analysis of clinical data of 336 cases with acute pancreatitis （AP） was made The clinical laboratory indicators and therapeutic method differences were compared between hyperlipidemic acute pancreatitis （HLAP） and acute biliary pancreatitis （ABP）.Results The elevation of blood and urine amylase was not frequently remarkable in HLAP.Compared with other patterns of AP,HLAP had a higher incidence of fatty liver and diabetes （P〈0.05）,and triglyceride （TG） in HLAP was markedly higher （P 0.05）.Conclusion Elimination promptly the blood plasma triglyceride will reduce the blood fats to be helpful to the alleviation of acute symptoms and the improvement of prognosis.