Đánh giá đặc điểm lâm sàng, cận lâm sàng ở bệnh nhân viêm tụy cấp có tăngtriglycerid máu tại Bệnh viện Đa khoa tỉnh Thái Bình=Assessment of clinical and paraclinical features in patients with acute pancreatitis and hypertriglyceridemia at Thai Binh provincial general hospital

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Minh Phượng Bùi, Thị Tuyết Trinh Bùi, Đặng Anh Huyền Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y Dược Thái Bình (Đại học Y Dược Thái Bình), 2024

Mô tả vật lý: tr.83-87

Bộ sưu tập: Metadata

ID: 159199

Thêm vào giỏ

Đánh giá đặc điểm lâm sàng và cận lâm sàng ở bệnh nhân viêm tụy cấp có tăng Triglycerid máu tại Bệnh viện Đa khoa tỉnh Thái Bình. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang trên 102 bệnh nhân viêm tụy cấp, chia 2 nhóm dựa trên mức triglycerid máu: nhóm 1: 5,7-11,3 mmol/l
nhóm 2: ≥11,3 mmol/l. Kết quả: Nhóm bệnh nhân có mức triglycerid ≥ 11,3 mmol/l có triệu chứng lâm sàng nặng hơn, tỷ lệ biến chứng cao hơn (như suy thận, suy hô hấp, nhiễm trùng tụy) và thời gian nằm viện dài hơn so với nhóm 5,7-11,3 mmol/l. Kết quả chụp CT cũng cho thấy tỷ lệ hoại tử tụy >
50% và tụ dịch quanh tụy cao hơn ở nhóm có mức triglycerid cao. Kết luận: Bệnh nhân viêm tụy cấp có tăng Triglycerid máu, đặc biệt với mức Triglycerid ≥ 11,3 mmol/l, có xu hướng biểu hiện triệu chứng lâm sàng nghiêm trọng và tỷ lệ biến chứng cao hơn. Đặc điểm lâm sàng và cận lâm sàng của nhóm này cần được quan tâm trong việc quản lý và điều trị để cải thiện tiên lượng bệnh nhân.This study aims to evaluate the clinical and subclinical characteristics of patients with acute pancreatitis associated with hypertriglyceridemia at Thai Binh General Hospital. Method: A cross-sectional descriptive study was conducted on 102 patients with acute pancreatitis, divided into two groups based on triglyceride levels: Group 1 (5.7-11.3 mmol/l) and Group 2 (≥ 11.3 mmol/l). Results: Patients with triglyceride levels ≥ 11.3 mmol/l exhibited more severe clinical symptoms, higher complication rates (such as renal failure, respiratory failure, and pancreatic infection), and longer hospital stays compared to the 5.7-11.3 mmol/l group. CT scan results also revealed a higher rate of pancreatic necrosis >
50% and peripancreatic fluid collection in the group with elevated triglyceride levels. Conclusion: Patients with acute pancreatitis and elevated triglyceride levels, particularly those with triglyceride levels ≥ 11.3 mmol/l, tend to exhibit more severe clinical symptoms and have a higher complication rate. The clinical and subclinical characteristics of this group require special attention in management and treatment to improve patient prognosis.

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