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高脂血症性急性胰腺炎的临床分析
引用本文:黄金龙,张明,何兴祥,容海鹰.高脂血症性急性胰腺炎的临床分析[J].湖北民族学院学报(医学版 ),2009,26(1):23-25.
作者姓名:黄金龙  张明  何兴祥  容海鹰
作者单位:1. 广州新海医院消化内科,广东,广州,510300
2. 广东药学院附属第一医院消化科,广东,广州,510080
摘    要:目的探讨高脂血症性急性胰腺炎(HLAP)的临床特征。方法对我院自1990年1月至2008年12月收治的421例急性胰腺炎(AP)患者进行病因构成比分析,并比较HLAP与急性胆源性胰腺炎(ABP)的临床表现、实验室指标、并发症和预后等方面的差异。结果HLAP与ABP的构成比分别为7.13%和56.77%,HLAP组患者入院时的血、尿淀粉酶明显低于ABP组(P〈0.05),但HLAP组的重症比例、呼吸衰竭、循环衰竭、肾衰竭、总体病死率均显著高于ABP组(P〈0.05)。结论在诊断时应注意HLAP常不伴有血、尿淀粉酶的显著升高。在治疗HLAP过程中应注意预防和积极治疗多器官功能衰竭。

关 键 词:高脂血症  急性胰腺炎  临床特点

Clinical Analysis of the Hyperlipidemic Acute Pancreatitis
HUANG Jin-long,ZHANG Ming,HE Xing-xiang,et al..Clinical Analysis of the Hyperlipidemic Acute Pancreatitis[J].Journal of Hubei Institute For Nationalities(Medical Edition),2009,26(1):23-25.
Authors:HUANG Jin-long  ZHANG Ming  HE Xing-xiang  
Institution:HUANG Jin-long,ZHANG Ming,HE Xing-xiang,et al.(1.Department of Gastroenterology,Guangzhou Xinhai Hospital,Guangzhou 510300,China,2.Department of Gastroenterology,the First Affiliated Hospital of Guangdong Pharmaceutical University,China)
Abstract:Objective o investigate the clinical features of hyperlipidemic acute pancreatitis(HLAP).Methods To analyze pathogenesis constituent ratio on 421 patients of acute pancreatitis(AP) which admitted to our hospital from Jan.1990 to Dec.2008.The clinical,laboratory indicators,complications and prognosis differences were compared between HLAP and acute biliary pancreatitis(ABP).Results The HLAP and ABP constituent ratio were 7.13% and 56.77% respectively.The levels of blood and urine amylase in HLAP was lower th...
Keywords:Hyperlipidemia  Acute pancreatitis  Clinical features  
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