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| 高脂血症性急性重症胰腺炎特征分析及治疗策略* |
| Analysis of the characteristics of severe acute pancreatitis with high fat and treatment strategy |
| 投稿时间：2014-05-30 修订日期：2014-06-03 |
| DOI： |
| 中文关键词: 高脂血症 重症胰腺炎 分析 治疗 |
| 英文关键词: Hyperlipidemia Severe acute pancreatitis Analysis Treatment |
| 基金项目:国家自然科学基金自助项目;国家自然科学基金项目（面上项目，重点项目，重大项目） |
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| 中文摘要: |
| 摘要：目的 探讨高脂血症与急性重症胰腺炎（HSAP）患者的临床特点及诊疗分析，为急性重症胰腺炎（SAP）的诊治提供偱证依据。方法 回顾性分析了我科自2008年9月到2013年9月收治的101例急性胰腺炎患者差异以分析高脂血症性急性重症胰腺炎患者的病情转归情况。结果 HSAP性别上比较在酶恢复时间差异有统计学意义（P<0.05）；HSAP患者入院后经过降脂药物治疗HSAP与其他SAP相比较甘油三酯（TG）在短期内基本恢复正常，HSAP中白细胞、酶恢复时间低于其他SAP组，差异有统计学意义（P<0.05）；HSAP与高脂血症性急性轻型胰腺炎（HMAP）相比较两组间淀粉酶、脂肪酶、甘油三酯、酶恢复时间比较差异无统计学意义（P>0.05）。结论 HSAP与患者的性别有一定的相关性；HSAP患者的病情转归情况可能与甘油三酯水平相关；甘油三酯水平不能直接决定高脂血症性急性胰腺炎（HLAP）患者病情的轻重。 |
| 英文摘要: |
| Abstract:Objective Discussion of the hyperlipidemia and severe acute pancreatitis (HSAP) clinical characteristics and diagnosis of patients, to provide evidence for the diagnosis and treatment of severe acute pancreatitis according to the future. Methods A retrospective analysis of 101 cases of acute pancreatitis patients in our hospital from Jam 2008 to Jam 2013 was made with analysis of hyperlipidemic severe acute pancreatitis patients outcomes. Results HSAP in the gender comparison in the enzyme recovery time difference was statistically significant (P<0.05). TG of HSAP after lipid-lowering drugs for the treatment in the short term was almost back to normal compared to other SAP, lower than other group SAP in recovery time of Amylase, Enzyme and the difference was statistically significant (P<0.05).HSAP and HMAP phase comparison between two groups of Amylase, Lipase, Triglyceride, Enzyme recovery time had no significant difference (P>0.05). Conclusions There is a certain correlation between HSAP and patient sex;HSAP disease outcomes may be associated with triglyceride levels;Triglyceride levels cannot directly decide the severity of the disease in patients with HLAP . |
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