Mehta Swati Pabbi, Tiwari Aseem Kumar, Puri Rajesh, Arora Dinesh, Aggarwal Geet, Ratan Ankita
Department of Transfusion Medicine, Medanta - The Medicity, Gurgaon, Haryana, India.
Department of Gastroenterology and Hepatology, Medanta - The Medicity, Gurgaon, Haryana, India.
Asian J Transfus Sci. 2018 Jul-Dec;12(2):154-156. doi: 10.4103/ajts.AJTS_86_17.
Hypertriglyceridemia (HTG) is the third most significant risk factor for acute pancreatitis after gallstones and alcohol. Therapeutic plasma exchange (TPE) has been considered a possible treatment for HTG-induced pancreatitis, especially in severe and refractory cases. Here, we report one such clinical experience with a patient of severe HTG-induced pancreatitis. He was treated with TPE along with intravenous insulin, statins, and fibrates. TPE resulted in immediate relief of symptoms as well as a marked improvement in laboratory values, with 74.5% reduction in triglycerides after a single session. TPE can be successfully utilized as an adjunct in HTG-induced pancreatitis.
高甘油三酯血症（HTG）是继胆结石和酒精之后急性胰腺炎的第三大重要危险因素。治疗性血浆置换（TPE）被认为是治疗HTG诱发胰腺炎的一种可能方法，尤其是在重症和难治性病例中。在此，我们报告一例严重HTG诱发胰腺炎患者的临床经验。他接受了TPE治疗，并同时使用了静脉胰岛素、他汀类药物和贝特类药物。TPE使症状立即得到缓解，实验室检查值也显著改善，单次治疗后甘油三酯降低了74.5%。TPE可成功用作HTG诱发胰腺炎的辅助治疗方法。
