高甘油三酯血症性急性胰腺炎的发病率及临床治疗：若干问题
Incidence and clinical treatment of hypertriglyceridemic acute pancreatitis: A few issues.
作者信息
Yang Qun-Ying, Zhao Qian, Hu Jian-Wen
机构信息
Department of Gastroenterology, Dongyang People's Hospital, Dongyang 322100, Zhejiang Province, China.
出版信息
World J Clin Cases. 2023 Jan 16;11(2):479-481. doi: 10.12998/wjcc.v11.i2.479.
Abstract
Hypertriglyceridemia is a well-recognized etiology of acute pancreatitis, and the incidence of hypertriglyceridemic acute pancreatitis (HTG-AP) has increased in frequency worldwide in response to lifestyle changes. It is crucial to identify hypertriglyceridemia as the cause of pancreatitis and initiate appropriate treatment. Insulin treatment produces effective lowering of triglycerides, but in our opinion, non-diabetic patients with HTG-AP require separate consideration to avoid hypoglycemia.
摘要
高甘油三酯血症是急性胰腺炎一种公认的病因，随着生活方式的改变，全球范围内高甘油三酯血症性急性胰腺炎（HTG-AP）的发病率不断上升。将高甘油三酯血症确定为胰腺炎病因并启动适当治疗至关重要。胰岛素治疗能有效降低甘油三酯水平，但我们认为，非糖尿病的HTG-AP患者需要单独考虑，以避免低血糖。
相似文献
1
Incidence and clinical treatment of hypertriglyceridemic acute pancreatitis: A few issues.高甘油三酯血症性急性胰腺炎的发病率及临床治疗：若干问题
World J Clin Cases. 2023 Jan 16;11(2):479-481. doi: 10.12998/wjcc.v11.i2.479.
2
Incidence and clinical characteristics of hypertriglyceridemic acute pancreatitis: A retrospective single-center study.高甘油三酯血症性急性胰腺炎的发病率及临床特点：一项回顾性单中心研究。
World J Gastroenterol. 2022 Aug 7;28(29):3946-3959. doi: 10.3748/wjg.v28.i29.3946.
3
ACUTE PANCREATITIS IN PATIENTS WITH SEVERE HYPERTRIGLYCERIDEMIA IN A MULTI-ETHNIC MINORITY POPULATION.在一个多民族少数民族人群中，患有严重高甘油三酯血症的患者的急性胰腺炎。
Endocr Pract. 2018 May;24(5):429-436. doi: 10.4158/EP-2017-0178. Epub 2018 Mar 2.
4
Current knowledge of hypertriglyceridemic pancreatitis.高甘油三酯血症性胰腺炎的当前认知
Eur J Intern Med. 2014 Oct;25(8):689-94. doi: 10.1016/j.ejim.2014.08.008. Epub 2014 Sep 27.
5
Systematic review of hypertriglyceridemia-induced acute pancreatitis: A more virulent etiology?高甘油三酯血症性急性胰腺炎的系统评价：一种更具毒性的病因？
Pancreatology. 2016 Jul-Aug;16(4):469-76. doi: 10.1016/j.pan.2016.02.011. Epub 2016 Mar 3.
6
Issues in hypertriglyceridemic pancreatitis: an update.高甘油三酯血症性胰腺炎相关问题：最新研究进展
J Clin Gastroenterol. 2014 Mar;48(3):195-203. doi: 10.1097/01.mcg.0000436438.60145.5a.
7
Suboptimal management of hypertriglyceridemia in the outpatient setting is associated with the recurrent pancreatitis: A retrospective cohort study.门诊环境中高甘油三酯血症管理欠佳与复发性胰腺炎相关：一项回顾性队列研究。
Medicine (Baltimore). 2020 Oct 23;99(43):e22887. doi: 10.1097/MD.0000000000022887.
8
Chaiqin Chengqi Decoction as an adjuvant treatment for mild/moderately severe hypertriglyceridemic acute pancreatitis: A retrospective study.柴芩承气汤作为轻/中度重症高甘油三酯血症性急性胰腺炎辅助治疗的回顾性研究
World J Clin Cases. 2024 Apr 16;12(11):1918-1928. doi: 10.12998/wjcc.v12.i11.1918.
9
Hypertriglyceridemia-induced acute pancreatitis: progress on disease mechanisms and treatment modalities.高甘油三酯血症性急性胰腺炎：疾病机制与治疗方式的进展
Discov Med. 2019 Feb;27(147):101-109.
10
An observational study of severe hypertriglyceridemia, hypertriglyceridemic acute pancreatitis, and failure of triglyceride-lowering therapy when estrogens are given to women with and without familial hypertriglyceridemia.一项针对患有和未患有家族性高甘油三酯血症的女性在使用雌激素时出现严重高甘油三酯血症、高甘油三酯血症性急性胰腺炎以及降甘油三酯治疗失败情况的观察性研究。
Clin Chim Acta. 2003 Jun;332(1-2):11-9. doi: 10.1016/s0009-8981(03)00129-3.
引用本文的文献
1
[Early Predictors for Hypertriglyceridemic Acute Pancreatitis].[高甘油三酯血症性急性胰腺炎的早期预测指标]
Sichuan Da Xue Xue Bao Yi Xue Ban. 2025 Mar 20;56(2):591-595. doi: 10.12182/20250360610.
本文引用的文献
1
Incidence and clinical characteristics of hypertriglyceridemic acute pancreatitis: A retrospective single-center study.高甘油三酯血症性急性胰腺炎的发病率及临床特点：一项回顾性单中心研究。
World J Gastroenterol. 2022 Aug 7;28(29):3946-3959. doi: 10.3748/wjg.v28.i29.3946.
2
Prevalence, severity and management of hypertriglyceridemia-associated pancreatitis; A 7-year retrospective cohort study at Canadian quaternary care hospitals.加拿大四级保健医院 7 年回顾性队列研究：与高甘油三酯血症相关的胰腺炎的流行率、严重程度和管理。
J Clin Lipidol. 2022 Jul-Aug;16(4):455-462. doi: 10.1016/j.jacl.2022.05.064. Epub 2022 May 21.
3
Comparable Triglyceride Reduction With Plasma Exchange and Insulin in Acute Pancreatitis - A Randomized Trial.血浆置换与胰岛素治疗急性胰腺炎时甘油三酯降低效果相当——一项随机试验
Front Med (Lausanne). 2022 Apr 12;9:870067. doi: 10.3389/fmed.2022.870067. eCollection 2022.
4
Insulin and Heparin Therapies in Acute Pancreatitis due to Hypertriglyceridemia.胰岛素和肝素治疗高甘油三酯血症性急性胰腺炎。
J Coll Physicians Surg Pak. 2021 Nov;31(11):1337-1340. doi: 10.29271/jcpsp.2021.11.1337.
5
Therapeutic plasma exchange for hyperlipidemic pancreatitis: Current evidence and unmet needs.治疗性血浆置换治疗高脂血症性胰腺炎：当前证据与未满足的需求
World J Clin Cases. 2021 Jul 26;9(21):5794-5803. doi: 10.12998/wjcc.v9.i21.5794.
6
Hypertriglyceridemia-induced pancreatitis treated with continuous insulin infusion-Case series.高甘油三酯血症诱导的胰腺炎采用持续胰岛素输注治疗——病例系列。
Clin Endocrinol (Oxf). 2022 Feb;96(2):139-143. doi: 10.1111/cen.14554. Epub 2021 Jul 14.
7
Management of Hypertriglyceridemia-Induced Acute Pancreatitis in a Nondiabetic Patient.非糖尿病患者高甘油三酯血症性急性胰腺炎的管理
Mayo Clin Proc Innov Qual Outcomes. 2021 Feb 26;5(1):230-235. doi: 10.1016/j.mayocpiqo.2021.02.001. eCollection 2021 Feb.
8
Drug discovery and formulation development for acute pancreatitis.急性胰腺炎的药物发现与制剂开发
Drug Deliv. 2020 Dec;27(1):1562-1580. doi: 10.1080/10717544.2020.1840665.
9
Clinical features and outcomes of hypertriglyceridemia-induced acute pancreatitis: Propensity score matching analysis from a prospective acute pancreatitis registry.高甘油三酯血症性急性胰腺炎的临床特征和转归：一项前瞻性急性胰腺炎注册研究的倾向评分匹配分析。
Pancreatology. 2020 Jun;20(4):617-621. doi: 10.1016/j.pan.2020.03.013. Epub 2020 Mar 31.
10
A Rare Case of Acute Pancreatitis Due to Very Severe Hypertriglyceridemia (>10 000 mg/dL) Successfully Resolved With Insulin Therapy Alone: A Case Report and Literature Review.仅通过胰岛素治疗成功解决的极重度高甘油三酯血症（>10000mg/dL）所致急性胰腺炎罕见病例：病例报告及文献综述
J Investig Med High Impact Case Rep. 2018 Sep 1;6:2324709618798399. doi: 10.1177/2324709618798399. eCollection 2018 Jan-Dec.
Zotero 插件