高脂血症性急性胰腺炎对比胆源性急性胰腺炎临床特征分析

目的：探讨高脂血症性急性胰腺炎（HLAP）的临床特征和诊治原则。方法：分析我院2010年6月—2012年6月收治的48例高脂血症性急性胰腺炎患者（HLAP）和64例胆源性急性胰腺炎（BAP）患者的临床资料。结果：HLAP与BAP患者的性别、年龄、体重指数、脂肪肝发生率、糖尿病发生率、重症急性胰腺炎发生率、手术率、甘油三酯和胆固醇水平、Ranson评分等比较均具有显著性差异（P〈0．05）。HLAP患者血淀粉酶水平比BAP患者血淀粉酶水平低，但差异不具有统计学意义（P〉0．05）。结论：HLAP具有发病年龄低、体重指数高、脂肪肝、血糖高的临床特点，而且有不少HLAP为重症急性胰腺炎。应该早期诊断并且治疗高脂血症。HLAP治疗以非手术治疗为主，必要时予以手术治疗。

Comparison in Features between Hyperlipidemic Acute Pancreatitis and Bfliary Acute Pancreatitis

Objective：To compare clinical effects between hyperlipidemic acute pancreatitis （HLAP） and bili ary acute panereatitis （BAP）. Methods：48 cases of HLAP and 64 cases of BAP in our hospital from June 2010 to June 2012 entered this study. The their clinical data were assessed retrospectively. Results：There was significantly difference in gender, age, body mass index, the rate of fatty liver, diabets prevalence, incidence of severe acute pancreatitis, operative rate, triglyceride, cholesterol levels and Ranson score between HLAP and BAP （P 〈 0.05 ）. Serum level of amylase in patients with HLAP was lower than patients with BAP （P 〉 0.05 ）, no statistic significance. Conclusions：Lower pathogenic age, higher body mass, fat liver and high blood sugar were main clini cal features of patients with HLAP, and many cases of them have severe acute pancreatitis, so the hyperlipidemia would be diagnosed and treated early.