重庆医学2011，Vol.40Issue(5)：454-455,457,3.DOI:10.3969/j.issn.1671-8348.2011.05.016
CRRT治疗高脂血症重症急性胰腺炎的疗效观察
Effects of continuous renal replacement therapy on severe acute pancreatitis with hyperlipidemia
刘茂霞 1廖勤1
作者信息
- 1. 重庆市江北区第一人民医院消化科,400020
- 折叠
摘要
Abstract
Objective To observe the effects of continuous renal replacement therapy(CRRT) for hyperlipoidemia severe acute pancreatitis (HLSAP). Methods The clinical data of 26 patients with HLSAP divided into A,B groups from January 2006 to december 2009 were analyzed retrospectively in the study. A group including 16 patients were treated with general management combined with heparin,insulin, lipid-lowering medication, B group of 10 patients were treated with continuous renal replacement therapy in addition to the general management combined with heparin,insulin,lipid-lowering drug treatment. The score of acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ ),the levels of serum triglyceride,C-reactive protein, serum and urine amylase before treatment and after 48 hours therapy were compared,the same to the cases mortality and complications. Results The APACHE Ⅱ score, serum triglyceride, C-reactive protein level of A group after 48 hours therapy were not significantly decreased( P＞0.05), that of B group after 48 hours therapy decreased significantly(P＜0.05). Both of the two groups were no significant changes in serum and urine amylase(P＞0.05). A group of acute respiratory failure,acute renal failure, pleural effusion and mortality were significantly higher than group B(P＜0.05). Conclusion CRRT is the better way to HLSAP. It can significantly improve the clinical symptoms and reduce mortality of HLSAP关键词
胰腺炎/高脂血症/连续性肾脏替代治疗Key words
hyperlipidemias/pancreatitis/continuous renal replacement therapy引用本文复制引用
刘茂霞,廖勤..CRRT治疗高脂血症重症急性胰腺炎的疗效观察[J].重庆医学,2011,40(5):454-455,457,3.
