TÌNH HÌNH, ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ BỆNH VIÊM TỤY CẤP DO TĂNG TRIGLYCERID

Abstract

Background: Acute pancreatitis is a common medical and surgical emergency in clinical practice with rapid progress, affecting the patient's life with a mortality rate from 2.1 to 7.8%. There are many different causes of acute pancreatitis including gallstones, alcohol abuse and hypertriglyceridemia. Objectives: To determine the rate of hypertriglyceridemia-induced acute pancreatitis; some clinical, subclinical characteristics and to evaluate the results of treatment of hypertriglyceridemia-induced acute pancreatitis at the Intensive Care Unit and the Department of Gastroenterology - Clinical Hematology, Can Tho Central General Hospital. Materials  and methods: A cross-sectional descriptive study with an analysis of 179 patients hospitalized at Can Tho Central General Hospital diagnosed with acute pancreatitis. Results: The rate of acute pancreatitis due to increased triglycerides was 21.8%, ranking second after gallstones (28.5%). In hypertriglyceridemia-induced acute pancreatitis, the majority of patients were under 60 years of age (84.6%), men were 2.9 times higher than women. Abdominal pain was the symptom in all patients. Others common signs were obstipation (56.4%), followed by abdominal distension (53.8%). The median triglyceride concentration was 19.21mmol/L. Regarding the treatment results, 97.4% of patients recovered and were discharged from the hospital, the median volume of fluid in the first 24 hours was 4500ml, the duration of insulin use was 3 days, and 48.7% of patients were discharged within one week. The prevalence of antimicrobial use was 89.7%. Conclusions: Hypertriglyceridemia was the second cause of acute pancreatitis. The most common symptom in acute pancreatitis was abdominal pain, the success rate of treatment was high.