Sleth J C, Lafforgue E, Servais R, Saizy C, Pluskwa F, Huet D, Benamran S, Vérin C
Clinique Saint-Roch, 43, rue du Faubourg-St-Jaumes, 34967 Montpellier cedex 2, France.
Ann Fr Anesth Reanim. 2004 Aug;23(8):835-7. doi: 10.1016/j.annfar.2004.06.006.
We report the case of a 28-year-old secundipari with a history of severe hypertriglycideremia-induced pancreatitis 3 years ago who was admitted in the 37th week of gestation with abdominal pain. A blood sample had a milky aspect and plasma concentrations were as follows: triglycerides 8,5g/l, cholesterol 1000 mg/dl, amylase 574 IU/l, lipase 1310 IU/l. Acute pancreatitis was diagnosed, a caesarean was performed under spinal anaesthesia. The diagnosis was confirmed by CT-scan. Treatment with 15,000 IU heparin per day and intravenous nutrition decreased triglycerides level to less than 1g/l within 48 h. She was discharged 28 days later. Heparin could be a low-cost alternative to plasmapheresis in hypertriglycideremia-induced pancreatitis.
我们报告了一例28岁经产妇的病例，该患者3年前有严重高甘油三酯血症诱发胰腺炎的病史，在妊娠第37周因腹痛入院。一份血样呈乳状，血浆浓度如下：甘油三酯8.5g/l，胆固醇1000mg/dl，淀粉酶574IU/l，脂肪酶1310IU/l。诊断为急性胰腺炎，在脊髓麻醉下进行了剖宫产。CT扫描证实了诊断。每天使用15000IU肝素并进行静脉营养治疗，48小时内甘油三酯水平降至1g/l以下。28天后她出院了。在高甘油三酯血症诱发的胰腺炎中，肝素可能是血浆置换的低成本替代方案。
