- 期刊
Treatment of Very Severe Hypertriglyceridemia: A Case Report
嚴重高三酸甘油血症的治療：一病例報告
摘要
高三酸甘油血症於糖尿病患是常見的。偶而我們會遇到嚴重而且難以治療的高三酸甘油血症病例。我們報告一例44歲男性，其三酸甘油值高達18150mg/dL並併發了急性胰臟。患者於一年前的住院被診斷出患有糖尿病。我們以多種藥物包括statin，fibrate，ezetimibe和魚油為患者治療，並建議他在血糖控制良好後仍繼續施打胰島素。在過去一年中患者的三酸甘油值在1000mg/dL至4000mg/dL之间，並未再發生胰臟炎。本文敘述了這病例的治療過程並探討了高三酸甘油血症的不同治療方式。
關鍵字
無資料並列摘要
Hypertriglyceridemia is common in diabetic patients and patients with severe hypertriglyceridemia refractory to conventional treatment are occasionally identified. This report describes a diabetic patient with triglyceride levels as high as 18150 mg/dL and concurrent acute pancreatitis. Multiple antilipidemic drugs were prescribed including statin, fibrate, ezetimibe and fish oil in addition to insulin treatments. In the one year follow up period since the time of his initial diagnosis and hospitalization, the patient's triglyceride levels fluctuated from 1000 to 4000 mg/dL, but no further signs and symptoms of acute pancreatitis were experienced. This case serves to relay the various treatment modalities available to diabetic patients with severe hypertriglyceridemia.
延伸閱讀
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