高脂血症性急性胰腺炎临床特征分析  

Clinical manifestations of acute pancreatitis with hyperlipemia

作　　者：王文兵[1] 李鸿[2] 张文礼[1] 廉华[1] 

机构地区：[1]宜宾市第一人民医院消化内科,四川宜宾644000 [2]四川省宜宾市江安县人民医院

出　　处：《西部医学》2007年第6期1046-1048,共3页Medical Journal of West China

摘　　要：目的探讨急性胰腺炎的发生、发展及预后与高脂血症,尤其是高甘油三酯血症相关性。方法通过收治的352例急性胰腺炎患者的完整资料进行回顾性分析。A组:甘油三酯水平正常;B组:甘油三酯水平≥参考值5倍;C组:甘油三酯水平<参考值5倍,但高于参考值。结果A、C两组患者血尿淀粉酶在发病后检查均高于参考值范围;B组患者血尿淀粉酶在发病后检查均在参考值范围。结论甘油三酯水平升高参与急性胰腺炎的发生、发展,其水平的变化影响急性胰腺炎预后;同时,过高的甘油三酯水平(≥参考值5倍)对血尿淀粉酶升高有明显的影响。Objective To explore the correlation between development and prognosis of acute pancreatitis with hyperlipemia, especially hypertriglyceridemia . Methods The clinical data of 352 cases of acute pancreatitis in our hospital in past four years were retrospectively analyzed. The level of triglyceride in group A was normal and the level of triglyceride in group B（≥5 times of normal value） and C （〈5 times of normal value） was higher than the normal level. Results The amylase levels of group A and group C were in the range of reference value and amylase level of group C was normal. Conclusion Hypertriglyceridemia is related to the occurrence and development of acute pancreatitis and the change of triglyceride level can significantly affect the prognosis of acute pancreatitis. The hypertriglyceridemia（≥5 times of normal value） has remarkable influence on amylase level.

关 键 词：甘油三酯水平 急性胰腺炎 预后 

分 类 号：R587[医药卫生—内分泌]