贵州医科大学学报

2003, (03) 222-223+226

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急性胰腺炎患者血清总胆固醇和甘油三酯的水平
Changes of Serum Concentrations of Total Cholesterol and Triglyceride in Patients with Acute Pancreatitis

刘琦,周力,袁艺,刘文红
LIU Qi 1, ZHOU Li 1,YUAN Yi 2, LIU Wen hong 2 (1.Department of Digestive Internal Medicine,The Affiliated Hospital of Guiyang Medical College, Guiyang 550004, China; 2. Supply Room, The Affiliated Hospital of Guiyang Medical College, Guiyang 550004, China)

摘要(Abstract):

目的 :研究急性胰腺炎时的血脂水平及探讨两者之间所存在的关系。方法 :使用全自动生化分析仪动态测定轻型急性胰腺炎 (MAP)患者 35例 ,重症急性胰腺炎 (SAP)患者Ⅰ级 15例 ,Ⅱ级 17例的血清总胆固醇(TC)和甘油三酯 (TG)水平。结果 :在急性胰腺炎急性反应期 ,均有血脂升高 ,随着病情明显好转 ,高脂血症逐渐恢复正常。MAP患者于发病后第 1周TC为 (4 11± 2 78)mmol/L ,TG为 (2 2 9± 1 5 1)mmol/L ;SAPⅠ级患者于发病后第 4周TC为 (4 2 4± 2 79)mmol/L ,TG为 (2 13± 1 32 )mmol/L。而预后较差的患者高脂血症未得到恢复 ,SAPⅡ级患者于发病后第 4周TC为 (10 96± 5 88)mmol/L ,TG为 (7 91± 3 95 )mmol/L。结论 :急性胰腺炎易并发高脂血症 ,而持续的高脂血症能加重胰腺炎症 ,可能是致命预后的一项参数
Objective: To study the relationship between acute pancreatitis and serum lipid contents. Methods: Serum levels of total cholesterol and triglyceride in 35 patients with mild acute pancreatitis(MAP) and 32 with severe acute pancreatitis (SAP) were continuously determined with automatic biochemical analytical apparatus. Results: Hyperlipidemia was observed in acute period, and the lipid contents dropped to normal level along with convalesce of patients. However, the hyperlipidemia in critical patients with unfavourable prognosis did not get renewal. Conclusion: Hyperlipidemia is common complication in patients with acute pancreatitis. Persistent hyperlipidemia may aggravate the crisis, and this appeared to be an index of fatal prognosis.

关键词(KeyWords): 胰腺炎;急性病;高脂血症
pancreatitis; acute disease; hyperlipidemia

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作者(Author): 刘琦,周力,袁艺,刘文红
LIU Qi 1, ZHOU Li 1,YUAN Yi 2, LIU Wen hong 2 (1.Department of Digestive Internal Medicine,The Affiliated Hospital of Guiyang Medical College, Guiyang 550004, China; 2. Supply Room, The Affiliated Hospital of Guiyang Medical College, Guiyang 550004, China)

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DOI: 10.19367/j.cnki.1000-2707.2003.03.014

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