Kawanishi M, Okamoto S, Nishimura Y, Yoshikawa M, Kajiyama G
Okamoto Hospital, Hiroshima, Japan.
Hiroshima J Med Sci. 1994 Mar;43(1):31-6.
A case of acute pancreatitis with hyperlipemia and hyperglycemia induced by alcohol abuse is reported. The case is a 34-year-old man who was admitted to our hospital with a complaint of severe abdominal pain. He had been drinking 700ml approximately 1400ml of whisky daily prior to admission. At the time of admission, his serum amylase was elevated to 1833 U. Abdominal computerized tomography revealed edematous swelling of the pancreas. His serum glucose level was 926 mg/dl, cholesterol 754 mg/dl and triglyceride 3,530 mg/dl. Following successful treatment of acute pancreatitis and hyperglycemia with gabexate mesilate and insulin, his serum glucose, lipid and pancreatic enzyme levels decreased to the normal range. This case is considered to be one of acute pancreatitis with diabetic lipemia induced by alcohol abuse.
报告了1例因酗酒诱发高脂血症和高血糖的急性胰腺炎病例。该病例为一名34岁男性,因严重腹痛入院。入院前他每天饮用约700至1400毫升威士忌。入院时,他的血清淀粉酶升高至1833 U。腹部计算机断层扫描显示胰腺水肿。他的血清葡萄糖水平为926 mg/dl,胆固醇为754 mg/dl,甘油三酯为3530 mg/dl。在用甲磺酸加贝酯和胰岛素成功治疗急性胰腺炎和高血糖后,他的血清葡萄糖、脂质和胰腺酶水平降至正常范围。该病例被认为是由酗酒诱发的糖尿病性脂血症伴急性胰腺炎。