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本文报道6例急性高血脂性胰腺炎伴发低纳血症的临床治疗经验。6例中有4例患有糖尿病,其中,1例因有明显的血液动力学改变需急诊治疗,故作详细介绍。患者女性40岁,有急性胰腺炎反复发作的病史,在住入本院的一次发作,病情十分严重,出现昏睡、脉搏微弱和血压未能测到,诊断重症急性胰腺炎伴继发性低血容量及毛细血管灌注减少。入院时血液生化测定,血清纳111 mEq/L,血糖444 mg/dL,血清淀粉酶373 Somogyi单位/dL,(正常值<180Somogyi单位/dL)。血清呈明显乳白色,但未能测出血脂值。旋即予以积极静脉补液治疗,主要使用0.9
This article reports 6 cases of acute hyperlipidemic pancreatitis associated with hyponatremia clinical experience. Of the 6 patients, 4 had diabetes mellitus, of which 1 required urgent treatment due to significant hemodynamic changes and were described in detail. A 40-year-old female patient has a history of recurrent acute pancreatitis. During an attack admitted to our hospital, her condition was very serious with drowsiness, weak pulse and blood pressure. Diagnosis of severe acute pancreatitis with secondary hypovolemia And decreased capillary perfusion. Blood biochemical determination at admission, serum 111 mEq / L, blood glucose 444 mg / dL, serum amylase 373 Somogyi units / dL, (normal <180Somogyi units / dL). Serum was obviously milky white, but failed to detect blood lipid values. Immediately to be active intravenous rehydration therapy, the main use of 0.9