高脂血症性急性胰腺炎的临床特点

目的分析、总结高脂血症性胰腺炎(hyperlipidemic pancreatitis,HLP)的临床特点。方法对宣武医院自1988年1月至2004年12月收治的979例急性胰腺炎(AP)患者进行回顾性对照研究,其中613例为急性胆石性胰腺炎(acute gallstonepancreatitis,AGP),90例为HLP。结果HLP组患者入院时的血、尿淀粉酶明显低于AGP组,HLP组的循环衰竭、呼吸衰竭、肾衰竭及肺部感染的发生率明显高于AGP组。结论在诊断时应注意HLP常不伴有血、尿淀粉酶的显著升高。在治疗HLP过程中应注意预防和积极治疗器官功能衰竭和肺部感染。

The Clinical Characteristics of Hyperlipidemic Pancreatitis

Objective To analyse and summarize the clinical characteristics of hyperlipidemic pancreatitis. Methods A retrospective research was carried out to compare clinical characteristics on 979 patients which admitted to Xuanwu hospital from Jan. 1988 to Dec. 2004. 613 patients had acute gallstone pancreatitis, 90 patients had hyperlipidemic pancreatitis. Results The levels of blood and urine amylase in HLP was lower than that of acute gallstone pancreatitis. HLP had higher incidence of circulation failure, respiration failure, kidney failure and lung infection. Conclusion In the diagnosis of HLP, it should be noticed that the elevation of blood and urine amylase is not frequently remarkable. In the course of HLP'therapy, it is important to prevent and treat multi-organ failure and lung infection.