| 张超 李宏宇 郭晓钟 王迪 姚辉.高脂血症性急性重症胰腺炎特征分析及治疗策略[J].,2015,15(11):2076-2078 |
| 高脂血症性急性重症胰腺炎特征分析及治疗策略 |
| Characteristics Analysis and Treatment Strategy of Severe AcutePancreatitis with Hyperlipidemia |
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| 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:辽宁省自然科学基金项目（2014020059） |
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| 中文摘要: |
| 目的：探讨高脂血症性急性重症胰腺炎（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 例急性胰腺炎患者血清脂肪酶、淀粉酶浓度、酶恢复时间、
白细胞、甘油三酯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患者甘油三酯（TG）水平男性明显高
于女性，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、甘油三酯比较差异无统计学意义（P>0.05），白细胞、酶恢复时间比较差异有统计学意义
（P<0.05）。结论：HSAP患者TG 水平可能与患者的性别有一定的相关性；HSAP 患者的病情转归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患者病情的轻重。 |
| 英文摘要: |
| Objective:To investigate the clinical characteristics and diagnosis of the hyperlipidemic severe acute pancreatitis
(HSAP) patients, and provide evidence for the diagnosis and treatment of severe acute pancreatitis.Methods:A retrospective analysis of
101 cases of acute pancreatitis patients in our hospital from September 2008 to September 2013 was made to analyze the outcomes of
hyperlipidemic severe acute pancreatitis patients.Results:HSAP gender groups only Triglyceride (TG) had statistically significant
difference (P<0.05); the level of TG of HSAP after administration of anti-hyperlipidemic drugs in the short term was almost back to
normal compared to other SAP, lower than other SAP group in recovery time of enzyme and White blood cells got the difference
statistically significant (P<0.05). HSAP and HMAP phase comparison between two groups of amylase, lipase, triglyceride had no
significant difference (P>0.05).Conclusion:The level of TG in patients with HSAP may have some correlation with the patient's gender;
HSAP disease outcome may be associated with triglyceride levels; triglyceride levels cannot directly decide the hyperlipidemic acute
pancreatitis severity. |
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