高脂血症性与胆源性重症急性胰腺炎的对比临床观察  

The Contrastive Clinical Observation of Hyperlipidemic and Biliary Severe Acute Pancreatitis

作　　者：姚希[1] 崔乃强[2] 李岩[2] 

机构地区：[1]天津医科大学研究生院,天津300070 [2]天津市南开医院胆胰中心,天津300100

出　　处：《中国中西医结合外科杂志》2013年第4期358-361,共4页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:探讨高脂血症性重症急性胰腺炎(HLSAP)的临床特点。方法:对56例HLSAP患者的临床资料进行回顾性分析,并选择同期79例胆源性重症急性胰腺炎(BSAP)患者作为对照组进行对比。结果:与BSAP相比,HLSAP发病年龄低,男性、肥胖者多见,更易进展至全身感染期,出院3个月后腹内包裹性积液、糖尿病的并发症发病率更高。结论:HLSAP既表现出重症急性胰腺炎的一般特点,又有其自身的特殊性,预后不佳,需引起重视。Objective To investigate the clinical features of hyperlipidemic severe acute pancreatitis（HLSAP）.Methods Clinical data of 56 patients with HLSAP were analyzed restrospectively.79 patients with biliary severe acute pancreatitis（BSAP） during the same period were enrolled as controls.Results Compared with group BSAP,the patients with HLSAP were younger,more common in men,obese,and more likely to progress to systemic infective stage.The incidence of intra-abdominal encapsulated effusion and diabetes is higher discharged after 3 months.Conclusion HLSAP not only shows the general characteristics of severe acute pancreatitis（SAP）,but also has its own particularity.The prognosis is poor and need attention.

关 键 词：重症急性胰腺炎 高脂血症 胆道疾病 

分 类 号：R631[医药卫生—外科学]