New Year’s Day is less than a month away, and holiday gatherings, drinking, and high-fat meals are inevitable. The reporter learned that the number of patients with acute pancreatitis who come to Jiangsu Provincial Traditional Chinese Medicine Hospital during holidays will increase significantly. In recent years, the number of acute pancreatitis cases induced by hyperlipidemia has gradually increased. Recently, 40-year-old Mr. Li was sent to the emergency room of Jiangsu Provincial Hospital of Traditional Chinese Medicine by his family because he developed acute abdominal pain after eating a large amount of barbecue at night. A blood test found that Mr. Li's blood was obviously stratified, with a milky white lipid layer, commonly known as "milk blood". The triglyceride was 54.81mmol/L, which is about 24 times the normal value!
The triglyceride soared. Induced severe acute pancreatitis
40-year-old Mr. Li was sent to the emergency room of Jiangsu Provincial Hospital of Traditional Chinese Medicine by his family because he developed acute abdominal pain after eating a large amount of barbecue at night. The emergency CT examination showed acute pancreatitis, with amylase 871U/L and lipase 2427U/L, far exceeding the normal values. He was admitted to the Gastroenterology Department of the Provincial Hospital of Traditional Chinese Medicine. A blood test found that Mr. Li's blood was obviously stratified, with a milky white lipid layer, commonly known as "milk blood". The triglyceride was 54.81mmol/L, about 24 times the normal value, and the total cholesterol was 17.16mmol/L. , about 3 times the normal value, and was diagnosed as hypertriglyceridemia acute pancreatitis.
Mr. Li has a history of hypertension, type 2 diabetes, hyperlipidemia, fatty liver, and kidney stones. Acute pancreatitis is a very serious disease, with an acute onset and rapid progression. It can involve organs and systems throughout the body and progress to severe acute pancreatitis, which is dangerous and has a high mortality rate. After admission, the patient's abdominal pain worsened and he developed emergencies such as shortness of breath and drop in blood pressure. He was quickly transferred to the Department of Critical Care Medicine for treatment. On the basis of maintaining stable vital signs, plasma exchange and bedside hemofiltration were performed to rapidly remove chyle from the plasma. Treatments such as microparticles and lowering triglycerides.
The patient's plasma was exchanged, and the filtered plasma was like butter
During the treatment, the patient developed high fever, respiratory failure, abdominal effusion, etc., and was given anti-infection, ventilator support, puncture drainage, and ascites drainage. After active treatment, the patient's condition improved, and he was transferred back to the general ward of the gastroenterology department and was discharged after recovery. When he was discharged from the hospital, the gastroenterology medical staff repeatedly told Mr. Li to adjust his diet, exercise moderately, work regularly, control his weight, and monitor changes in blood lipids and blood sugar regularly to prevent recurrence of the disease.
Liu Junlou, deputy chief physician of the Gastroenterology Department of Jiangsu Provincial Hospital of Traditional Chinese Medicine, said that "milk blood", also known as chyloblood, is oily blood. This is the body's reminder that the fat content in the body is too high. Hyperlipidemia refers to an increase in plasma cholesterol or triglyceride levels. Generally speaking, acute pancreatitis induced by hyperlipidemia is common in patients with high triglycerides.
Acute pancreatitis itself is a very serious disease. If treatment and intervention are not carried out in time, it may lead to further aggravation of the disease, and the mortality rate of severe acute pancreatitis is as high as 30%. Mr. Li was overweight and had some basic diseases such as hyperlipidemia. Combined with his uncontrolled diet, he developed acute severe pancreatitis. Fortunately, he was treated in time.
How scary is acute pancreatitis? It actually eats itself
The intestines and stomach are the main digestive organs of the human body, but there are many other organs involved in the entire process of digestion and absorption of food, and the pancreas is just one of them. The pancreas is the second largest gland in the human body. It can secrete pancreatic juice and insulin. It has the function of digesting protein, fat, and sugar. Its main function is involved in the digestion and metabolism of the human body.
Acute pancreatitis is a local inflammatory reaction caused by activation of pancreatic enzymes caused by various causes and acting on pancreatic tissue. Normal pancreatic enzymes digest food, but in the state of acute pancreatitis, pancreatic enzymes will appear in a "disregarding" state, not only digesting food, but also digesting the own pancreatic tissue and even the tissue surrounding the pancreas.
The most typical symptom of acute pancreatitis is severe and persistent abdominal pain, especially upper abdominal pain, which can involve the lower back. It may be accompanied by symptoms such as nausea, vomiting, abdominal distension, cessation of defecation and gas, and gastrointestinal bleeding. The symptoms of hyperlipidemic acute pancreatitis are similar, usually starting with severe abdominal pain, significantly elevated blood amylase and lipase, and accompanied by elevated blood lipids.
The relationship between hyperlipidemia and acute pancreatitis? What are the triggers?
Nowadays, many people's physical examination reports will indicate "dyslipidemia". Hyperlipidemia is an important factor causing acute pancreatitis. Relevant research results show that if the triglyceride level is greater than or equal to 5.65mmol/L, it is equivalent to entering "high blood pressure". The warning line for the prevention of "lipidemic acute pancreatitis"; if the triglyceride level exceeds 11.3mmol/L, you should be highly vigilant about the occurrence of pancreatitis. There are many reasons for acute pancreatitis. To put it simply, blood with significantly elevated blood lipids is like milk, in a hypercoagulable state, which can cause severe microcirculation disorders, thereby causing pancreatic necrosis and leading to acute pancreatitis. On the contrary, after the onset of acute pancreatitis, triglyceride levels may further increase due to systemic stress response and impaired pancreatic islet function. Director Liu Junlou of
said: “Poor diet, hyperlipidemia, alcoholism, obesity, gallstones and pregnancy are all factors that induce acute pancreatitis. Young people are mostly affected by improper diet, overeating or excessive drinking; Many elderly people are related to gallbladder disease."
Generally speaking, poor lifestyle and dietary structure are closely related to the occurrence of hyperlipidemia acute pancreatitis. Hyperlipidemia pancreatitis has a higher incidence and recurrence rate of pancreatic necrosis and organ failure than other causes. It is necessary to pay attention to controlling blood sugar and blood lipids and changing living habits.
How to prevent hyperlipidemic acute pancreatitis?
The key to prevention is to focus on preventing hyperlipidemia.
1. Remember the following "Three Diet Tips"
(1) Reduce the intake of high-fat foods. High-fat foods are mainly foods with high oil content and fried foods, such as walnuts, peanuts, fatty meats, animal offal, cream products, etc.
(2) Cook with less oil. When making food, you should choose less oil cooking methods to reduce over-processing of food. Use less oil-rich cooking methods such as frying and deep-frying, and use more methods such as steaming, stewing, and boiling.
(3) Low sugar diet. Limit sugar intake and eat less sweets; avoid or drink less sugary drinks; reduce the frequency of intake of high-sugar packaged foods: such as biscuits, ice cream, chocolate, etc.; use less sugar in home cooking.
2． Follow your doctor's advice, exercise moderately, and use lipid-lowering drugs correctly
Moderate exercise can not only enhance cardiopulmonary function, but also reduce weight and lower serum triglyceride and cholesterol levels.
For some people with high blood lipids, in addition to changing their diet and living habits, they also need supplementary lipid-lowering drugs. For example, choose drugs that mainly lower serum total cholesterol and low-density lipoprotein, or choose drugs that mainly lower serum triglycerides.
Traditional Chinese medicine has long documented hyperlipidemia, such as "fat people", "phlegm turbidity", "cream fat", etc. In recent years, some scholars have proposed the concept of "blood turbidity" and believe that the liver is mainly responsible for the occurrence of this disease. , spleen and kidney. Long-term addiction to eating wine, cheese, fat, and sweet food will damage the spleen, stomach, viscera, and the internal organs, resulting in loss of Qi transformation, abnormal transfusion of water and grains, accumulation of dampness into turbidity, and blood turbidity. The treatment principles include "strengthening the spleen and removing turbidity", "resolving phlegm and activating blood circulation", "activating blood circulation and removing blood stasis", etc. The single Chinese medicines Poria, Atractylodes, Alisma, tangerine peel, hawthorn, lotus leaf, cassia seed, salvia miltiorrhiza, etc. all have obvious lipid-lowering effects. Traditional Chinese medicine compounds such as Erchen Decoction, Alisma Decoction, Yinchen Wuling Powder, Gegen Qinlian Decoction, etc. It has significant effects on obesity and hyperlipidemia.
Correspondent Liu Junlou, Chongqing Yangzi Evening News reporter Yu Dandan
Proofreader Xu Heng
