ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ VIÊM TỤY CẤP CÓ TĂNG TRIGLYCERIDE MÁU TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Background: Acute pancreatitis is a common emergency disease in Vietnam as well as in the world with increasing incidence. Acute pancreatitis has many causes such as primary or secondary such as alcohol, diabetes, drugs... Severe hypertriglyceridemia may be the cause of acute pancreatitis. Objectives: To determine some clinical and subclinical features of acute pancreatitis with hypertriglyceridemia and to evaluate the treatment results for acute pancreatitis with hypertriglyceridemia at the Intensive care unit and the Gastroenterology-Hematology department in Can Tho Central General Hospital. Materials and methods: A cross-sectional descriptive studies of 103 patients who admitted to the hospital with acute pancreatitis. Results: Regarding the general characteristics of the study sample, the majority of patients was in the group of age <60, the rate of men was nearly 3 times higher than that of women. 36.9% of patients had a history of acute pancreatitis. 37.9% of patients was workers and 35.9% of patients was farmers. The most common clinical symptoms of acute pancreatitis with hypertriglyceridemia were abdominal pain with a rate of 100%, followed by vomiting and bloating, accounting for 83.5% and 68%, respectively. About physical signs, tenderness at Mayo Robson point was 49.5% and abdominal tenderness sign accounted for 14.6%. Ultrasound helped diagnose acute pancreatitis with accuracy of 88.3%. Regarding the results of treatment of acute pancreatitis with hypertriglyceridemia: 98.1% of patients recovered. Hospitalization was ≤7 days accounting for 61.2%. Rate of patients using antibiotics was 83.5%. Conclusion: The most common symptoms of acute pancreatitis with hypertriglyceridemia are abdominal pain and hyperlipasemia. Ultrasound is valuable in diagnosing acute pancreatitis. The rate of successful treatment is high.