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目的对急性高脂血症胰腺炎的临床特点进行探讨分析。方法选取2015年6月至2016年12月来本院进行治疗的150例急性胰腺炎患者,依据其病情不同将其分为四组,分别为急性高脂血症性胰腺炎(AHP)组,共34例;胆源性胰腺炎(ABP)组,共81例;酒精性胰腺炎组,共14例;其他组,共21例。结果数据显示,急性高脂血症性胰腺炎组的患者的糖尿病、脂肪肝、急性重症胰腺炎和高血脂的发病率均高于胆源性胰腺炎组。对于血清淀粉酶的浓度和肝功能受损情况,急性高脂血症性胰腺炎组优于胆源性胰腺炎组。数据差异具有统计学意义(P<0.05)。结论在临床上,急性高脂血症胰腺炎的患者相比于普通的急性胰腺炎患者具有病情较严重,血脂含量较高,血清中的淀粉酶较少等特点,对患者临床资料进行回顾性分析可以总结其病因病机,指导其临床的诊断和治疗。
Objective To investigate the clinical features of acute hyperlipidemic pancreatitis. Methods A total of 150 patients with acute pancreatitis treated in our hospital from June 2015 to December 2016 were divided into four groups according to their different conditions: acute hyperlipidemic pancreatitis (AHP) A total of 34 cases; biliary pancreatitis (ABP) group, a total of 81 cases; alcoholic pancreatitis group, a total of 14 cases; other groups, a total of 21 cases. Results The data showed that the incidence of diabetes mellitus, fatty liver, acute severe pancreatitis and hyperlipidemia in patients with acute hyperlipidemic pancreatitis group were higher than those in biliary pancreatitis group. For serum amylase concentration and impaired liver function, acute hyperlipidemic pancreatitis group was better than biliary pancreatitis group. Data differences were statistically significant (P <0.05). Conclusions In clinical practice, patients with acute hyperlipidemic pancreatitis have more serious disease, higher serum lipids and less amylase in serum than those with common acute pancreatitis. The clinical data of the patients were retrospectively analyzed Analysis can summarize its etiology and pathogenesis, to guide the clinical diagnosis and treatment.