【摘要】目的：探讨高脂血症性急性胰腺炎的临床表现，治疗方法及转归情况。方法：回顾性分析我院近年来收治的28例高脂血症性急性胰腺炎患者的临床资料。结果：28例高脂血症性急性胰腺炎患者经过治疗，其中轻型5～7 d后复查血TG降至5.65mmol/L以下，住院9～24d，平均13.5d。重症HALP于14～22d后复查血TG降至5.65 mmol/L以下，住院24～55d，平均37.2d。结论：目前胆源性与酒精性仍为我国急性胰腺炎发病的主要因素，但高脂血症在急性胰腺炎的致病及严重程度中所起的重要作用已越来越得到重视。因此，及时清除血浆中高浓度的三酰甘油，控制体重，降低血脂将有助于急性胰腺炎的症状缓解，改善预后。

 【关键词】高脂血症性急性胰腺炎；甘油三酯；淀粉酶

 Clinical Analysis of hyper acute lipidemic pancreastitis

 HE Can-li

 【Abstract】Objective To investigate the clinical character of hyper acute lipidemic pancreatitis.Methods The clinical data of 28 patients with hyper acute lipidemic pancreatitis were analyzed. Results 28 example hyperlipemia impatient pancreatitis patient after treatment, after light 5~7 d, reexamines blood TG to drop to below 5.65mmol/L, is hospitalized 9~24d, average 13.5d. Critically ill HALP after 14~22d reexamines blood TG to drop to below 5.65 mmol/L, is hospitalized 24~55d, average 37.2d. Conclusion: At present gallbladder source and alcoholic still for our country acute pancreatitis morbidity primary factor, but the hyperlipemia gets up in acute pancreatitis' pathogenesis and the order of severity the influential role obtained more and more takes seriously. Therefore, eliminates in promptly the blood plasma the highly concentrated three acid radical glycerine, the control body weight, will reduce the blood fats to be helpful to acute pancreatitis' symptom alleviation, the improvement prognosis. ......
 百拇医药网 http://www.100md.com/html/paper/1006-1959/2009/06/53.htm
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