VIÊM TỤY CẤP NẶNG DO TĂNG TRIGLYCERIDE ĐIỀU TRỊ KẾT HỢP VỚI LỌC MÁU HẤP PHỤ - BÁO CÁO CA BỆNH

Abstract

Pancreatitis is a common medical emergency in critical care. This is usually associated with the raise of multiple organ dysfunction. Pancreatitis causes a significant increase in mortality rate as a result of the acuteness of excessive inflammation reaction when the treatment is ineffective. There is a growing tendency of hypertriglyceridemia-induced acute pancreatitis compared with other causes. The rate of multiple organ dysfunction and prolonged SIRS complication increase whenever the blood triglyceride level increases in patients with pancreatitis. Blood triglyceride level > 1000 mg/dL (11.2 mmol/L) is considered to be the cause of pancreatitis. There is various method to eliminate triglyceride: coupled plasma filtration, hemoperfusion, plasmapheresis, and plasma exchange. We report a clinical case of a 32-year-old male patient diagnosed severe hypertriglyceridemia-induced pancreatitis with multiple organ dysfunction complication (acute kidney injury, respiratory distress), and ketoacidosis, who have been successful treatment with hemoperfusion resin adsorbent and HA330.