高甘油三酯血症诱发的胰腺炎在医疗管理中治疗而不采用血浆置换

Ushna Naveed, Aneela Iqbal
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引用次数: 0

摘要

高甘油三酯血症是急性胰腺炎的第三大病因,仅次于胆汁和酒精。它占胰腺炎病例的1%到4%。本病例描述一位30岁男性糖尿病患者,急诊时腹部疼痛和皮肤变黄。患者怀疑为糖尿病酮症酸中毒(DKA),经DKA治疗后未见好转。他的实验室检查显示血清淀粉酶水平正常,血脂异常伴血清甘油三酯水平升高。他被诊断为急性胰腺炎继发于高甘油三酯血症,这被认为是一种罕见的急性胰腺炎的原因。
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Hypertriglyceridemia Induced Pancreatitis Treated with Medical Management without Plasmapheresis
Hypertriglyceridemia is third prevailing cause of acute pancreatitis after biliary and alcoholic etiology. It accounts for 1 to 4% cases of pancreatitis. Present case describes a thirty years old diabetic male, who presented in emergency with pain in the abdomen and yellow discoloration of the skin. He was admitted with suspicion of diabetic ketoacidosis (DKA), but no improvement was seen after DKA treatment. His laboratory investigations showed normal serum amylase levels and dyslipidemia with raised serum triglycerides levels. He was diagnosed as acute pancreatitis secondary to hypertriglyceridemia, which is considered as a rare cause of acute pancreatitis.
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