| 高脂血症性急性胰腺炎38例诊治分析 |
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| 引用本文： | 赵登秋,朱威,邬叶锋,郝立俊,姜宝飞. 高脂血症性急性胰腺炎38例诊治分析[J]. 中华内分泌外科杂志, 2009, 3(4): 247-249. DOI: 10.3760/cma.j.issn.1674-6090.2009.04.010 |
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| 作者姓名： | 赵登秋 朱威 邬叶锋 郝立俊 姜宝飞 |
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| 作者单位： | 上海交通大学附属第六人民医院金山分院肝胆外科,上海,201500;徐州医学院附属淮安医院普外科,徐州,223002; |
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| 摘 要： | 目的 探讨高脂血症性急性胰腺炎(hyperlipidemic acute pancreatitis,HLAP)的临床特点和诊治经验.方法 回顾性分析我院收治的356例AP中38例HLAP的临床资料.结果 HLAP占同期收治AP的10.7%,其中29例(76.3%)为轻型HLAP,9例(23.7%)为重型HLAP.34例(89.5%)行非手术治疗,4例(10.5%)行手术治疗.治愈36例,死亡2例(均为重型HLAP).结论 高脂血症引起的急性胰腺炎并不少见,临床表现有其特殊性.治疗以非手术处理为主,降脂治疗町迅速缓解症状,必要时行手术治疗.
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| 关 键 词： | 胰腺炎 高脂血症 |
Analysis of 38 eases of hyperfipidemic acute pancreatitis |
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| Abstract: | Objective To explore the clinical characteristic and diagnosis and treatment of HLAP.Methods The clinical data of 38 patients with HLAP were reviewed retrospectively.Results 38 cases were diagnosed as HLAP(10.7%),that included 29 cases with mild acute panereatitis(76.3%) and 9 cases with severe acute panereatitis(23.7%).34 patients were treated by nonsurgical methods(89.5% ),4 by surgery(10.5%),As a result,36 cases were cured and 2 cases with severe acute pancreatitis died.Conclusions HLAP are common,and have particular clinical manifestations.Treatment for HLAP is mainly by nonoperative management.Reducing the blood triglyceride could quickly alleviate symptoms.Surgical treatment should be adopted according to the severity of panereatitis. |
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| Keywords: | PancreatitisHyperlipidemic |
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