The analysis of clinical features and prognosis of hyperlipidemic acute pancreatitis
10.3969/j.issn.1671-8348.2013.33.021
- VernacularTitle:高脂血症性急性胰腺炎的临床特点和预后分析
- Author:
Yibing ZHANG
;
Jie PAN
;
Liming ZHU
;
Zhihui LIN
- Publication Type:Journal Article
- Keywords:
triglycerides;
hyperlipidemias;
hyperlipidemic acute pancreatitis
- From:
Chongqing Medicine
2013;(33):4030-4031,4033
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical features and prognosis of hyperlipidemic acute sancreatitis (HLAP) .Methods A retrospective study was conducted in a cohort of 72 hyperlipidemic acute pancreatitis patients admitted in hospital from June 2007 to June 2012 .83 patients with acute biliary pancreatitis (ABP) diagnosed were served as control group .The clinical data of both groups were compared between the two groups .The correlation between serum triglyceride(TG) levels and disease severity of HLAP was assessed .Results The age and serum amylase levels of the HLAP group were remarkably lower than those of the ABP group (both P<0 .05) .Patients with HLAP had a significantly increased prevalence of fatty liver and type 2 diabetes compared with those with ABP(P<0 .05) ,but no difference of incident hypertension was found (P>0 .05) .The Ranson score ,APACHE-Ⅱ score ,and Bal-thazar CT score were comparable between the two groups (all P>0 .05) .The recurrence risk of HLAP group was strikingly higher than that of ABP group(P<0 .05) ,whereas the surgical operation and mortality rates were not significantly different between the two groups(P>0 .05) .The serum TG levels of HLAP showed no significant correlation with Ronson score ,APACHE-Ⅱ score and Balthazar CT score values(all P>0 .05) .Conclusion HLAP mainly occurs in young to middle-aged people .The serum amylase val-ues of HLAP increased mildly .Patients with HLAP are often accompanied by fatty liver and type 2 diabetes ,and subjected to grea-ter complications and recurrence risk .The severity of HLAP doesn′t correlate with the serum TG levels .
