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目的:探讨急性高脂血症性胰腺炎的临床特点、实验室特征及治疗。方法:回顾性分析15例急性高脂血症性胰腺炎患者的临床资料。结果:治愈15例,随访>1年,复发4例。结论:急性高脂血症性胰腺炎类似其他原因急性胰腺炎,重症较多,常见伴发2型糖尿病、慢性心血管疾病;以三酰甘油显著升高为特征,多有高血糖、凝血功能异常、动脉低氧血症,部分患者血淀粉酶可正常;降血脂、降血糖、早期扩容抗凝治疗有利于病情控制。
Objective: To investigate the clinical features, laboratory characteristics and treatment of acute hyperlipidemic pancreatitis. Methods: The clinical data of 15 patients with acute hyperlipidemic pancreatitis were retrospectively analyzed. Results: 15 cases were cured, followed up for more than 1 year and 4 cases relapsed. Conclusion: Acute hyperlipidemic pancreatitis is similar to other causes of acute pancreatitis, more severe, common with type 2 diabetes, chronic cardiovascular disease; characterized by significant increase of triglyceride, hyperglycemia, coagulation Abnormal, arterial hypoxemia, blood amylase in some patients may be normal; hypolipidemic, hypoglycemic, early expansion of anticoagulant therapy is conducive to disease control.