高血脂症性急性胰腺炎临床特点与治疗分析

Clinical features and treatment of acute hyperlipidemic pancreatitis

目的：探讨高血脂症性急性胰腺炎的临床特点与治疗方法．方法：选取高血脂症性急性胰腺炎患者30例（观察组）以及非高血脂症性急性胰腺炎患者30例（对照组），作为研究对象，收集两组患者的血淀粉酶、血糖、血脂及CT严重指数（CTSI）．结果：观察组患者的血甘油三酯显著高于对照组，差异有统计学意义（P〈0．05）；观察组患者的血淀粉酶显著低于对照组，差异有统计学意义（P〈0．05）；观察组患者的高密度脂蛋白，低密度脂蛋白，载脂革兰阴性菌蛋白，血糖及CT严重指数与对照组相比，差异均无统计学意义（P〉0．05）；观察组所有患者经血液滤过治疗后病情很快稳定，但出院后需定期检测血脂，必要时口服降脂药．结论：高血脂症性急性胰腺炎患者的血甘油三酯高，治疗要求降低血脂，非手术治疗为主．

AIM： To elucidate the clinical features and the prin- ciples in treatment of acute hyperlipidemic pancreatitis. METHODS： Thirty cases with acute hyperlipidemic pancreatitis were observation group, and thirty cases with acute pancreatitis were control group. Sixty cases were enrolled in this study. And then collecting serum amylase, blood glucose, blood lipid CT severity index of two groups. RESULES ： The triglyceride level of the observation group was obviously higher than control group （P 〈 0.05）. The serum amylase level of the observation group was obviously lower than control group （ P 〈 0.05 ）. These differences had statistical significance. The high-density lipoprotein, lowdensity lipoprotein, apolipoprotein, glucose, and CT severity index of the observation group showed no significant difference with the control group （ P 〉 0.05 ）. All the patients of observation group had stable condition after hemofiltration; they should take regular blood lipid test and oral lipid lowering drugs if necessary. CONCLUSION： The triglyceride level of patients with acute hyperlipidemic pancreatitis was higher. It requires to lower the lever of blood lipid in the treating. And the surgical therapy is the second choice.