Expert consensus from emergency and critical care specialist on diagnosis and treatment of hypertriglyceridemic acute pancreatitis

Title: Expert consensus from emergency and critical care specialist on diagnosis and treatment of hypertriglyceridemic acute pancreatitis
Edition: Original
Classification: Experts consensus
Field: Comprehensive guideline
Countries and regions: China
Guidelines users:
Evidence classification method: None
Development unit: 2nd Affiliated Hospital of Xi'an Jiaotong University
Registration time: 2021-04-06
Registration number: IPGRP-2021CN080
Purpose of the guideline: 急性胰腺炎(acute pancreatitis,AP)是常见的消化系统急症,可累及全身器官和系统进而发展为急性重症胰腺炎(severe acute pancreatitis,SAP),后者病情凶险、病死率高。近年来,国内研究数据统计结果显示,高脂血症已越过酒精成为AP的第二大病因。因高脂血症性急性胰腺炎的发生与血清甘油三酯(triglyceride,TG)水平显著升高密切相关,故又被命名为高甘油三酯血症性急性胰腺炎(hypertriglyceridemic acute pancreatitis,HTG-AP)。 基于对HTG-AP发病率逐年升高这一现象的思考,以及如何更早地预防和有效阻断HTG-AP对个人、家庭、社会所造成的近期与远期损害,HTG-AP的诊断与治疗已被重视。但HTG-AP“诱因隐匿、淀粉酶升高不明显”等特点导致该疾病的早期诊断极易被“误判”,HTG-AP“年轻化、合并症多”以及病情进展快、倾向“重症化”的特点给临床救治工作带来困难,尚且有关HTG-AP临床治疗措施仍缺乏统一的指导标准。本文是由急重症专家整理、编写的HTG-AP诊治共识,旨在传播HTG-AP的诊治规范和理念,为HTG-AP患者的诊治提供明确且行之有效的临床指导。