CAJ | 학술논문

目的探讨高脂血症性急性胰腺炎(hyperlipidemic acute pancreatitis,HLAP)的临床特点和诊治经验.方法回顾性分析我院收治的356例AP中38例HLAP的临床资料.结果 HLAP占同期收治AP的10.7%,其中29例(76.3%)为轻型HLAP,9例(23.7%)为重型HLAP.34例(89.5%)行非手术治疗,4例(10.5%)行手术治疗.治愈36例,死亡2例(均为重型HLAP).结论高脂血症引起的急性胰腺炎并不少见,临床表现有其特殊性.治疗以非手术处理为主,降脂治疗町迅速缓解症状,必要时行手术治疗.
목적 탐토고지혈증성급성이선염(hyperlipidemic acute pancreatitis,HLAP)적림상특점화진치경험.방법 회고성분석아원수치적356례AP중38례HLAP적림상자료.결과 HLAP점동기수치AP적10.7%,기중29례(76.3%)위경형HLAP,9례(23.7%)위중형HLAP.34례(89.5%)행비수술치료,4례(10.5%)행수술치료.치유36례,사망2례(균위중형HLAP).결론 고지혈증인기적급성이선염병불소견,림상표현유기특수성.치료이비수술처리위주,강지치료정신속완해증상,필요시행수술치료.
Objective To explore the clinical characteristic and diagnosis and treatment of HLAP.Methods The clinical data of 38 patients with HLAP were reviewed retrospectively.Results 38 cases were diagnosed as HLAP(10.7%),that included 29 cases with mild acute panereatitis(76.3%) and 9 cases with severe acute panereatitis(23.7%).34 patients were treated by nonsurgical methods(89.5% ),4 by surgery(10.5%),As a result,36 cases were cured and 2 cases with severe acute pancreatitis died.Conclusions HLAP are common,and have particular clinical manifestations.Treatment for HLAP is mainly by nonoperative management.Reducing the blood triglyceride could quickly alleviate symptoms.Surgical treatment should be adopted according to the severity of panereatitis.