高血脂症性急性胰腺炎临床分析

目的分析高血脂症性急性胰腺炎（HLP）的临床特点及治疗。方法将2002-09-2004-04收集资料完整的249例急性胰腺炎（AP）患者,根据病因分为胆源性AP（142例）、HLP（52例）、酒精性AP（17例）和其他（38例）。着重对HLP与胆源性AP的临床特征、治疗方法进行比较,并分析血甘油三酯（TG）与临床指标的相关性。结果在临床评分相同情况下,HLP与胆源性AP,在年龄、性别、血性腹腔积液发生率、复发率、脂肪肝发生率、糖尿病发生率、手术率等方面比较差异均有显著性。甘油三酯与临床评分、CT严重程度评分（CTS1）分级、禁食水时间、住院天数、PLT、HCT、血Ca2＋相关。结论HLP以中青年男性患者为主,血甘油三酯高,病情重、住院天数长,以非手术治疗为主。

Clinical Analysis on Hyperg Lycenridemia Pancreatitis

Objective Methods According to the pathogenesis,249 caseswith complete clinical data were divided intofourgroups: biliogen/cpancreatitisgroup(BAP,n:142 cases),hyperlipidemicpancreatitisgroup(HLP,/D:52 cases),alcoholicpancreatitisgroup(AP,n:17 cases) andothers(n:38 cases).The clinicalcharacteristicsandtreatmentin HLP group and biliogeniepancreatitisgroupwereanalyzed.The correlation betweenpl asmatriglyceridemia(TC) with clinicalindexwas analyzed.Results With the sameclinicalmarkel,there were significant differencesbetween HLP group and bioliogenic pancreatitis group in age,sex,relapse,morbidity of blood ascites,diabetes and fatty liver.The clinical markers,CTSI,plasma PLA,HCT,calcium,days of hospitalization and dietary restriction time were cor-related with plasma TC.Conclusion HLP isfrequentinman of 35～45 years old.Conservative treatment is cruciallyimportantforthepatientswithhi Shleve 10 fplasma TC,worsecondition,and long hospitalization.