高脂血症性急性胰腺炎临床分析

目的 分析高脂血症性急性胰腺炎（HLP）的临床特点及治疗。方法 将2002年9月至2004年4月收集资料完整的249例急性胰腺炎（AP）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（CTSI）分级、禁食水时间、住院天数、PLT、HCT、血Ca^2＋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 of hyperlipidemic pancreatitis

Objective To analyze the clinical characteristics and the treatment of hyperlipidemic pancreatitis(HLP).Methods According to the pathogenesis,249 cases with complete clinical data were divided into four groups: biliogenic pancreatitis group(BAP,n=142 cases),hyperlipidemic pancreatitis group(HLP,n=52 cases),alcoholic pancreatitis group(AP,n=17 cases ) and others(n=38 cases).The clinical characteristics and treatment in HLP group and biliogenic pancreatitis group were analyzed.The correlation between plasma triglyceridemia(TG) with clinical index was analyzed.Results With the same clinical markers,there were significant differences between 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 correlated with plasma TG.Conclusion HLP is frequent in man of 35-45 years old.Conservative treatment is crucially important for the patients with high level of plasma TG,worse condition,and long hospitalization