高三酰甘油血症急性胰腺炎的特点与处理

Characteristics and treatment of hypertriglyceridemia acute pancreatitis

胆结石和高三酰甘油是中国急性胰腺炎最常见的两大病因,高三酰甘油血症急性胰腺炎(HTGP)患者较年轻、男性较多、更易合并2型糖尿病、肥胖等,且并发症发生率更高、病情更重。HTGP最初的支持治疗与其他病因导致的急性胰腺炎类似,另外还采用降低血清三酰甘油水平的特殊治疗,包括肝素、胰岛素的输注、血浆置换、血液滤过等,后期生活方式的改变、减轻体重以及药物治疗是预防复发的关键。

Gallstones and hypertriglyceridemia(HTG)are among the first two etiologies of acute pancreatitis(AP)in China.Hypertriglyceridemia acute pancreatitis(HTGP)patients were found to be younger,more male,much higher proportion of diabetes,obesity,have a higher incidence of complications and more severe.The initial supportive treatment of HTGP is similar to acute pancreatitis caused by other causes,In addition,special treatments to reduce serum triglyceride levels are used,including heparin,insulin infusion,plasmapheresis,hemofiltration and so on.Lifestyle changes,weight loss and weight loss are the key to preventing recurrence.