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电子期刊 >> 正文 |
| 高脂血症性急性胰腺炎的临床特征分析 |
| 作者：李洪玉 |
| 单位：中国医科大学盛京医院集团抚顺医院 辽宁 抚顺 113001 |
| 关键词：高脂血症性胰腺炎 急性胰腺炎 高脂血症 甘油三酯 |
| 分类号：R 589 |
| 出版年,卷(期):页码：2015,32(6):629-630 |
| 摘要： |
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摘要：目的探讨高脂血症性胰腺炎（HLAP）的临床特点，以提高对HLAP的认识及诊治水平。方法将2012年12月至2014年12月我院收治的108例急性胰腺炎患者按病因不同分为HLAP组30例和非HLAP78例，对两组患者的相关临床资料进行回顾性对比分析。结果（1）HLAP 组患者平均年龄显著小于非HLAP组，而BMI和既往有糖尿病、脂肪肝者的比例均明显高于非HLAP组，差异均有统计学意义（P＜001）。（2）HLAP组患者血及尿淀粉酶水平明显低于非HLAP组，而血清甘油三酯、总胆固醇和血糖水平则明显高于非HLAP组，差异均有统计学意义（P＜001）。（3）HLAP组患者的复发率及重症患者比例则明显高于非HLAP 组，差异有统计学意义（P＜005）。结论HLAP患者具有自身的临床特点，其临床表现不典型、并发症多、易复发，除常规治疗外关键是降低血TG水平。 关键词：高脂血症性胰腺炎；急性胰腺炎；高脂血症；甘油三酯
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Abstract:ObjectiveTo investigate the clinical characteristics of patients with hyperlipidemia pancreatitis(HLAP)in order to improve the understanding of HLAP and the level of diagnosis and treatmentMethods108 patients of acute pancreatitis hospitalized in our hospital between December 2012 and December 2012 were divided into HLAP group(n=30)and non\|HLAP group(n=78),the clinical data of two groups were retrospectively analyzedResultsThe average age of the patients in HLAP group was significantly less than that in non\|HLAP group and BMI,the proportions of past diabetes and fatty liver were significantly higher than those in non\|HLAP group,the differences were statistically significant(P＜001)Serum and urine amylase level in HLAP group was significantly lower than that in non\|HLAP group,while serum triglyceride,total cholesterol and blood glucose levels were significantly higher than those in non\|HLAP group,the differences were statistically significant(P＜001)The recurrence rate and the proportion of severe patients in the HLAP group were significantly higher than those in the non\|HLAP group,the differences were statistically significant(P＜005)ConclusionHLAP has its own clinical manifestations that are atypical,complications,easy relapseIn addition to conventional treatment,reduce blood TG level is the keyKey Words:Hyperlipidemic pancreatitis;Acute pancreatitis;Hyperlipidemia;Triglycerides |
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\[4\]张小勇胰腺炎现代诊疗\[M\]江苏科学技术出版社， 2001：27
\[5\]张瑜红，唐国都高脂血症性胰腺炎的临床研究\[J\]中华临床医师杂志， 2011，5（9）：2777\|2779
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