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目的对老年高脂血症性胰腺炎的临床诊治方法进行分析。方法选取老年胰腺炎患者84例,以高脂血症性胰腺炎患者44例为观察组,以胆源性胰腺炎患者40例为对照组,对比两组患者治疗前各指标水平及治疗后的改善情况。结果观察组重症胰腺炎发病率显著高于对照组,治疗前观察组三酰甘油、血糖水平显著高于对照组,血淀粉酶、丙氨酸氨基转移酶及Ca2+显著低于对照组(P<0.05)。经治疗5 d后,两组各指标均有显著改善。结论在胰腺炎患者入院时进行血脂测定,可为患者病情早期诊断提供有力依据,对高脂血症胰腺炎患者及时、有效治疗极为重要。
Objective To analyze the clinical diagnosis and treatment of senile hyperlipidemic pancreatitis. Methods A total of 84 patients with senile pancreatitis were selected. Forty-four patients with hyperlipidemic pancreatitis were selected as the observation group and 40 patients with gallstone pancreatitis as control group. The levels of each index before treatment and after treatment were compared Improve the situation. Results The incidence of severe pancreatitis in the observation group was significantly higher than that in the control group. The triglyceride level in the observation group before treatment was significantly higher than that in the control group. The levels of serum amylase, alanine aminotransferase and Ca2 + in the observation group were significantly lower than those in the control group (P < 0.05). After 5 days of treatment, the indexes of both groups were significantly improved. Conclusion Serum lipids in patients with pancreatitis at admission can provide a strong basis for early diagnosis of patients with disease, and is extremely important for the timely and effective treatment of patients with hyperlipidemic pancreatitis.