NHẬN XÉT KẾT QUẢ THAY HUYẾT TƯƠNG TRONG PHỐI HỢP ĐIỀU TRỊ VIÊM TUỴ CẤP DO TĂNG TRIGLYCERIDE MÁU TẠI BỆNH VIỆN HỮU NGHỊ

Abstract

Objective: To describe the clinical, subclinical, and clinical features of plasma replacement therapy in the combination treatment of triglyceride-induced pancreatitis (TG). Subjects and methods: 14 patients diagnosed with pancreatitis with TG value> 11.3 mml / L, plasma exchange treatment combined with routine treatment of acute pancreatitis at the Intensive care and Control poisioning department from February 2018 to February 2021. Descriptive research. Results: Men: 78.6%, women: 21.4%; average age 62 ± 17; history: 64.3% drink alcohol, 57.1% have dyslipidemia, 42.9% diabetes mellitus. Time of admission; 100% abdominal pain on the navel, 85.7% nausea, vomiting; 100% bloating, 71.4% urinary retention, defecation; 64.3% of back pain point. Average Amylase index: 642 ± 347 UI/L, TG: 35.7 ± 13.2 mmol/L; Cholesterol: 13.7 ± 4.2 mmol/L. CT abdomen: 14.3% Baltaza E; 50% of Baltaza D; 35.7% Baltaza C. Results, plasma replacement: 71.4% instead of 01 time; 21.4% replaced 02 times; 7.2% changed 03 times. Alternative solution: 85.7% is fresh plasma and 14.3% is 5% albumin. The concentration of TG after the first filtration: decreased from 35.7 to 7.8; after 2nd time: 2.4 mmol/L. Complications: 7.1% filter obstruction, 7.1% catheter obstruction, 14.3% allergies.Cure rate: 92.9%; mortality 7.1%. Conclusion: Plasma exchanged is a complete and effective treatment of conjunctivitis due to TG increase; should be widely and routinely deployed in the hospital.