高脂血症性胰腺炎研究进展

Research Advances of Hyperlipidemic Pancreatitis

  • 摘要: 高脂血症性胰腺炎(hyperlipidemic pancreatitis,HLP)是急性胰腺炎的重要病因之一,其发病机制主要与游离脂肪酸累积和炎症反应激活有关。HLP临床表现较其他病因的急性胰腺炎症状更重、并发症更多、持续性器官衰竭可能性更高、更易复发,其治疗需采用血浆置换或胰岛素注射等降脂治疗以达到快速降低血清甘油三酯的效果。评估急性胰腺炎患者是否存在高脂血症并作出及时处理,对于HLP患者的预后至关重要。本文将对HLP的流行病学、病因、发病机制、临床表现及治疗进展等进行阐述,以期为HLP的临床诊治提供借鉴和参考。

     

    Abstract: Hyperlipidemic pancreatitis (HLP) is one of the most important causes of acute pancreatitis. The pathogenesis is associated with the accumulation of free fatty acids which can activate the inflammatory response. Compared with other causes, HLP is more likely to have the clinical features characterized by more severe symptoms, more complications, and higher likelihood of persistent organ failure. The HLP patients always need lipid lowering therapy such as apheresis or insulin therapy to reduce serum triglyceride rapidly. Assessment of the presence of hyperlipidemia in patients of acute pancreatitis and prompt management are crucial for the prognosis and the prevention of recurrence. This article reviews the etiology, pathogenesis, clinical features, and treatment of hypertriglyceridemia-induced acute pancreatitis.

     

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