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高脂血症重症急性胰腺炎的临床特征分析

郑丹 蒋永泼 张胜 钱灵珠 崔可 林荣海

浙江医学2017,Vol.39Issue(22):2002-2004,3.
浙江医学2017,Vol.39Issue(22):2002-2004,3.DOI:10.12056/j.issn.1006-2785.2017.39.22.2017-831

高脂血症重症急性胰腺炎的临床特征分析

Clinical characteristics of hyperlipidemic patients with severe acute pancreatitis

郑丹 1蒋永泼 1张胜 1钱灵珠 1崔可 1林荣海1

作者信息

  • 1. 317000 台州医院重症医学科
  • 折叠

摘要

Abstract

Objective To analyze the clinical characteristics of hyperlipidemic patients with severe acute pancreatitis (HLSAP).Methods Twenty-eight patients with HLSAP were enrolled in this study and 43 non-hyperlipidemic patients with severe acute pancreatitis (NHLSAP) were selected as control group.The general information,laboratory tests (triglycerides,cholesterol,low density lipoprotein,total bilirubin,calcium,C-reactive protein,hematocrit),complications and prognosis were compared between two groups.The risk factors of acute respiratory distress syndrome (ARDS) in HLSAP patients were analyzed.Results The patients with HLSAP were associated with low age,diabetes and fatty liver,the recurrence rate was high in HLSAP group compared with NHLSAP groups.There were significant differences in triglyceride,cholesterol,low density lipoprotein,Calcium,C-reactive protein and hematocrit between two groups.The incidence of ARDS in HLSAP group was higher than that in NHLSAP group,and high triglyceride (TG) level was an independent risk factor for ARDS.Conclusion Hyperlipidemia severe acute pancreatitis is often associated with fatty liver,diabetes,high recurrence rate and early development of ARDS,so control of blood lipids may reduce the recurrence of severe pancreatitis and complications.

关键词

重症急性胰腺炎/高脂血症/临床特征

Key words

Severe acute pancreatitis/Hyperlipidemia/Clinical features

引用本文复制引用

郑丹,蒋永泼,张胜,钱灵珠,崔可,林荣海..高脂血症重症急性胰腺炎的临床特征分析[J].浙江医学,2017,39(22):2002-2004,3.

浙江医学

OACSTPCD

1006-2785

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