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脾切除术后的高甘油三酯血症与复发性胰腺炎

Hypertriglyceridemia and Recurrent Pancreatitis following Splenectomy.

作者信息

Butman Michael, Taylor David, Boström Kristina, Quinones Manuel, Nicholas Susanne B

机构信息

Division of Nephrology, David Geffen School of Medicine at UCLA, Los Angeles, Calif., USA.

出版信息

Case Rep Gastroenterol. 2007 Oct 12;1(1):96-102. doi: 10.1159/000108912.

Abstract

Hyperlipoproteinemia represents a constellation of clinical syndromes that frequently includes hypertriglyceridemia. Because of the degree of elevation in the triglyceride levels frequently seen in these syndromes, they are associated with complications not generally observed among those patients with essential hypertriglyceridemia, including as in this case report, recurrent pancreatitis. Here, we present a case of a patient with hyperlipoproteinemia who developed acute worsening of his hypertriglyceridemia and onset of acute panceatitis that became recurrent following elective splenectomy for suspected lymphoma. In particular, we discuss the dietary management of hypertriglyceridemia which significantly reduced the number of episodes of acute pancreatitis in this patient.

摘要

高脂蛋白血症是一组临床综合征,常包括高甘油三酯血症。由于在这些综合征中经常出现甘油三酯水平的升高程度,它们与原发性高甘油三酯血症患者中一般未观察到的并发症相关,如本病例报告中的复发性胰腺炎。在此,我们报告一例高脂蛋白血症患者,其高甘油三酯血症急性恶化并发生急性胰腺炎,在因疑似淋巴瘤进行择期脾切除术后胰腺炎复发。特别是,我们讨论了高甘油三酯血症的饮食管理,这显著减少了该患者急性胰腺炎的发作次数。

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