FU Beibei,WU Jinming,XU Mei, et al. A comparison of clinical features between hyperlipidemic acute pancreatitis and acute biliary pancreatitis[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2015, 45(5): 369-.
Abstract：Objective: To compare the differences of clinical features between hyperlipidemic acute pancreatitis (HLAP) and acute biliary pancreatitis (ABP). Methods: A total of 20 HLAP patients and 20 ABP patients were enrolled in the study, then the clinical characteristics, serum biochemicals, the score of AP, the ratio of severe cases, imaging findings were analyzed contrastively and retrospectively. Results: In HLAP group, more were complicated with fatty liver and recurrence rate was much higher, the mean age was lower compared to ABP group (P<0.01). The TC, TG, FBG were higher in the HLAP group (P<0.05), while the AMY, ALT, AST, ALP, TBIL, DBIL, serum calcium and leukocytes number were significant lower in the HLAP group (P<0.05). The proportion of MCTSI score≥4, Ranson score≥3 and the ratio of severe cases were higher in patients with HLAP than that in patient with ABP (P<0.05). There were differences in the change of perirenal space and involved parts between the two groups. Conclusion: The significant differences are existed in HLAP and ABP in clinical characteristics, serum biochemicals, the ratio of severe cases and imaging findings.
