Mayan H, Gurevitz O, Mouallem M, Farfel Z
Department of Medicine E, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Isr J Med Sci. 1996 Sep;32(9):762-6.
Hyperlipidemia is a known cause for acute pancreatitis. Hyperlipidemia may also produce multiple spurious laboratory results that may complicate the diagnosis and management of pancreatitis. We encountered such a patient who had the following spurious laboratory results: normal serum amylase activity, hyponatremia, and high hemoglobin levels. These laboratory artifacts were previously described, mostly separately. In addition, our patient had artifactual thrombocytopenia. The patient improved dramatically following plasmapheresis, which enhanced reduction of serum lipids.
高脂血症是急性胰腺炎的已知病因。高脂血症还可能产生多种假性实验室检查结果，这可能会使胰腺炎的诊断和治疗复杂化。我们遇到过这样一位患者，其出现了以下假性实验室检查结果：血清淀粉酶活性正常、低钠血症和血红蛋白水平升高。这些实验室假象之前已有描述，大多是单独出现。此外，我们的患者还有假性血小板减少症。该患者在进行血浆置换后病情显著改善，血浆置换促进了血脂的降低。
