Hypertriglyceridemia, Pancreatitis, Acute
Conditions
Keywords
Hypertriglyceridemia-induced acute pancreatitis, insulin, triglyceride, treatment
Brief summary
To investigate an economical and effective way to reduce the level of serum triglyceride in patients with hypertriglyceridemia-induced acute pancreatitis.
Interventions
Insulin infusion for subjects in Group Insulin.
Aphesis for subjects in Group Aphesis.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Adult aged 18 to 80 years old; 2. abdominal pain consistent with AP; 3. serum amylase and / or lipase activity is at least 3 times higher than the normal upper limit; 4. abdominal imaging consistent with AP imaging changes. 5. severe hyperlipidemia fasting serum TG\> 1,000 mg/dL (11.2mmol/L); 6. except for other AP causes, such as cholelithiasis, alcohol, drugs and so on.
Exclusion criteria
1. other etiologies other than hyperlipidemia leading to AP; 2. fasting serum TG less than 1,000 mg / dL (11.2mmol / L); 3. acute lipid-induced pancreatitis at the same time combined with other etiologies of acute pancreatitis. 4. the existence of plasma replacement contraindications: serious allergies to plasma, human serum albumin, heparin and others; the existence of mental disorders; unstable heart or cerebral infarction; intracranial hemorrhage or severe cerebral edema associated with hernia. 5. without informed consent, the patient refused to plasma replacement, and other circumstances may bring significant bias.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| serum TG | every 4 hours in first 3 days | Elimination of serum triglyceride. |