高脂血症性急性胰腺炎56例临床分析

目的:探讨高脂血症(HL)与急性胰腺炎(AP)的关系.方法:回顾性分析我科2006年1月至2012年1月收治的急性胰腺炎患者766例的临床资料.结果:56例(7.31%)确诊为高脂血症性胰腺炎,甘油三酯水平为(18.23±6.40)mmol/L;HLAP患者的糖尿病和脂肪肝的发病率高于其他原因所致胰腺炎患者的发病率(P<0.05).结论:血甘油三酯升高而非血总胆固醇升高是引起高脂血症性胰腺炎的病因,高脂血症性胰腺炎常与脂肪肝和糖尿病并存.

Clinical Analysis of 56 Patients with Acute Hyperlipidemic Pancreatitis

Objective： To explore the relationship between hyperlipidemia （HL） and acute pancreatitis （AP）. Methods： The clinical data of 766 patients with AP were analyzed retrospectively from Jan. 2006 to Jan. 2012. Results： Among the 766 cases of AP,there were 56 cases （7.31%） of hyperlipidemia acute panereatitis （HLAP）. The level of blood triglyceride （TG） in patients with HLAP was（ 18.23±6.40）mmol/L. There was statistical difference in the incidence rates of fatty liver and diabetes between HLAP and other kinds of AP （P 〈 0.05）. Conclusion： Serum hypertriglyceridemia but not serum hyper total cholesterol bears closely correlation to AP. HLAP often coexists in patients with fatty liver and diabetes.