摘要
目的观察血浆置换治疗在老年高脂血症性急性胰腺炎的疗效。方法 13例老年高脂血症性急性胰腺炎患者在传统治疗方法的基础上加用血浆置换治疗。观察血浆置换治疗前、后临床症状改善情况、APACHEⅡ评分、血常规、血清三酰甘油浓度(TG)、生化指标、动脉血气分析等变化。结果经过血浆置换治疗后,患者临床症状改善明显,A-PACHEⅡ评分下降明显,血清总胆红素(TBil)、丙氨酸氨基转移酶(ALT)、血淀粉酶(AMS)、尿淀粉酶、TG、血钾(K+)亦明显下降,低血钙、低蛋白血症、酸中毒及低氧血症得到纠正。13例患者均存活,疗效明显。结论血浆置换治疗老年高脂血症性急性胰腺炎有明显的效果。
Objective To observe the effect of plasmapheresis in the treatment of acute pancreatitis in elderly patients with hyperlipidemia.Methods 13 elderly patients with acute hyperlipidemic pancreatitis were treated with plasmapheresis in addition to the conventional therapeutic measures.The clinical symptoms,APACHEⅡscores,serum levels of triglyceride（TG）,biochemical parameters and arterial blood gas analysis were observed before and after plasmapheresis.Results After plasmapheresis treatment,the clinical symptoms improved significantly.The APACHE Ⅱ score,serum total bilirubin（TBil）,alanine aminotransferase（ALT）,serum amylase（AMS）,urine amylase,serum TG,potassium（K＋） all decreased significantly.The hypocalcemia,hypoalbuminemia,acidosis and hypoxemia got better.Conclusion The plasmapheresis treatment is the better way to acute pancreatitis in elderly patients with hyperlipidemia.
出处
《四川医学》
CAS
2011年第9期1436-1438,共3页
Sichuan Medical Journal
关键词
血浆置换
老年
高脂血症
急性胰腺炎
plasmapheresis
elderly patients
hyper-lipemia
pancreatitis
