van de Vrie W, Baggen M G, Janssen I M, Ouwendijk R J
Afd. Inwendige Geneeskunde, Ikazia Ziekenhuis, Rotterdam.
Ned Tijdschr Geneeskd. 1996 Jan 6;140(1):34-6.
Pancreatitis caused by chylomicronaemia was diagnosed in three patients, two men of 36 and 51 years and a woman of 33 years. All three patients had a combined hyperlipidaemia, with severely elevated levels of triglycerides and cholesterol. Secondary causes of hypertriglyceridaemia such as uncontrolled diabetes mellitus, alcohol abuse, and non-compliance with diet and lipid lowering drug therapy caused aggravation of the lipid disorder. It is important to consider chylomicronaemia as a possible cause of pancreatitis, as treatment of the lipid disorder with diet and, if necessary, drugs can prevent recurrence of pancreatitis.
三名患者被诊断为乳糜微粒血症引起的胰腺炎，其中两名男性，年龄分别为36岁和51岁，一名女性，33岁。所有三名患者均患有混合性高脂血症，甘油三酯和胆固醇水平严重升高。高甘油三酯血症的继发原因，如未控制的糖尿病、酗酒以及不遵守饮食和降脂药物治疗，导致脂质紊乱加重。将乳糜微粒血症视为胰腺炎的可能病因很重要，因为通过饮食以及必要时使用药物治疗脂质紊乱可以预防胰腺炎复发。
