高脂血症性胰腺炎的诊治:附46例分析  

Diagnosis and treatment of hyperlipidemic pancreatitis: a report of 46 cases

作　　者：吴河水[1] 张磊[1] 王春友[1] 黄鹏[1] 郭兴军 熊炯炘[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院胰腺外科中心,湖北武汉430022 [2]山东省东营市人民医院外二科,山东东营257091

出　　处：《中国普通外科杂志》2006年第11期813-815,共3页China Journal of General Surgery

摘　　要：目的探讨高脂血症性胰腺炎的临床特点和诊治原则。方法回顾性分析2年余收治的46例高脂血症性胰腺炎的临床资料。结果高脂血症发生急性胰腺炎者为17.6%(46/262);其中32例(69.6%)为轻型胰腺炎,14例(30.4%)为重型胰腺炎。36例行非手术治疗,10例行手术引流。43例治愈,有效率为93.5%;3例治疗无效死亡者均为重型胰腺炎,占重型胰腺炎的21.4%。结论高脂血症可诱发急性胰腺炎,且有不少为重型胰腺炎。治疗以非手术治疗为主,但应根据不同的病情采用不同的治疗措施。Objective To elucidate the clinical features, and the principles in diagnosis and treatment of hyperlipidemic pancreatitis. Methods The clinical data of 262 cases with acute pancreatitis from January, 2004 to April, 2006, were studied. Results Among 262 cases, 46 cases were diagnosed as hyperlipidemic pancreatitis （17. 5%, 46/262 ）, that included 32 cases with mild acute pancreatitis （ 69.0 % ） and 14 cases with severe acute pancreatitis （ 31.0 % ） . Depending on the severity of pancreatitis, different treatments were adopted. Among the 46 cases, 10 were treated operatively. As a result, 43 cases were cured, accounting for 93. 5 % of all cases, and 3 cases died, accounting for 21.4 % of cases with severe acute pancreatitis. Condusions Hyperlipidemia can induce acute pancreatitis, and many may have severe pancreatitis. Treatment is mainly by nonoperative management but different therapeutic measures should be adopted according to the severity of pancreatitis.

关 键 词：胰腺炎/病因 胰腺炎/诊断 胰腺炎/治疗 高脂血症 

分 类 号：R657.5[医药卫生—外科学]