ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VIÊM TỤY CẤP Ở BỆNH NHÂN TĂNG TRIGLYCERIDE

Abstract

Objectives: To describe clinical and paraclinical characteristics of acute pancreatitis with hypertriglyceridemia and related factors. Methods: A prospective, cross-sectional descriptive study was conducted on 72 acute pancreatitis patients with hypertriglyceridemia at Military Hospital 103 from January 2021 to May 2023. The examination, diagnosis, and treatment procedures were performed consistently according to the guidelines of the World Society of Emergency Surgery (WSES) 2019.  Results: The average age was 42.8 ± 10.84, the percentage of men accounted for the highest figure (80.6%), and the occupation of civil servants was 47.2%. The abdominal pain was 97.2%, nausea was 76.4%, and excessive use of alcohol was 62.5%. The mean blood amylase was 675.1 ± 191.72 U/L, and the mean blood triglyceride was 19.54 ± 16.54 mmol/L. Severe acute pancreatitis was 22.2%, and blood triglyceride levels were unrelated to disease severity with p > 0.05. Conclusion: Acute pancreatitis with hypertriglyceridemia was more common in men with a history of alcohol abuse. Clinical symptoms were mainly abdominal pain, vomiting, abdominal distension, and dyspnea. Triglyceride levels were not related to disease severity.