高脂血症性胰腺炎26例临床治疗分析  

Analysis on the Clinical Therapy of the Hyperlipidemic Pancreatitis for 26 Cases

作　　者：曾晓晨[1] 王湘英[2] 

机构地区：[1]南华大学,湖南衡阳421600 [2]湖南省人民医院肝胆胰外科,湖南长沙410005

出　　处：《现代生物医学进展》2007年第6期893-894,900,共3页Progress in Modern Biomedicine

摘　　要：目的:分析26例高脂血症性胰腺炎的治疗及预后,探讨高脂血症性胰腺炎的治疗特点。方法:总结我科03．8-06．10间收治的高脂血症性胰腺炎病人26例的治疗及预后。结果:在高脂血症性胰腺炎26例,其中重症病例11例,重症病例中死亡二例,手术三例,合并糖尿病4例、合并高血压、冠心病5例,在所有高脂血症性胰腺炎中除重症中2例死亡外,其余根据胰腺炎的严重程度不同采用相应的治疗办法而全部治愈。结论:高脂血症性胰腺炎的发病率相对较高,其并发病多、死亡率高,治疗以降血脂为主的多方位的综合治疗,血液净化是重症高脂血症性胰腺炎早期治疗一种较有用的方式。Objective： To discuss the therapeutic guideline for acute hyperlipidemic pancreafifis with the analysis on the treatment and prognosis of 26 hyperlipidemic pancreatifises. Methods： The dinical data of 26 cases with acute hyperlipidemic pancreafifis from august 2003 to october 2006 were studied. Results： Among the 132 acute pancreatitis cases, 26 cases were diagnosed as hyperlipidemic pancreafifis, including 15 cases with mild acute pancreafifis and 11 cases with severe acute pancreafifis （SLAP）. Of the 11 SLAP cases, 2 cases died and 3 cases received operation, except for 4 cases with diabetes mellitus, 5 cases with hypertension and coronary heart disease. Different treatment were adopted according to the severity of pancreatitis, as a result, 24 cases were cured, accounting for 93.3% of all cases. Conclusion： Hyperlipidemia can induce acute pancreatitis and many may have severe pancreatitis and complicating diseases. Thus it is better to adopt a combined therapy which is mainly by lowering serum triglyceride. Besides, blood purification is an effective method to treat severe hyperlipidemic pancreatitis during early stage.

关 键 词：高脂血症性胰腺炎 治疗特点 血液净化 

分 类 号：R576[医药卫生—消化系统]