{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T16:07:28Z","timestamp":1768320448752,"version":"3.49.0"},"reference-count":30,"publisher":"Akademiai Kiado Zrt.","issue":"45","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,11,1]]},"abstract":"<jats:p>Az akut pancreatitist az esetek 1\u20137%-\u00e1ban hypertriglyceridaemia okozza.<jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>A szerz\u0151k vizsg\u00e1lat\u00e1nak c\u00e9lja az volt, hogy meghat\u00e1rozz\u00e1k a Szegedi Tudom\u00e1nyegyetem belgy\u00f3gy\u00e1szati klinik\u00e1in a hypertriglyceridaemia okozta akut pancreatitis el\u0151fordul\u00e1s\u00e1t, klinikai saj\u00e1toss\u00e1gait \u00e9s kezel\u00e9s\u00e9t.<jats:italic>M\u00f3dszerek:<\/jats:italic>2007. janu\u00e1r 1. \u00e9s 2009. december 31. k\u00f6z\u00f6tt az I. \u00e9s a II. Sz. Belgy\u00f3gy\u00e1szati Klinik\u00e1n el\u0151fordul\u00f3 hypertriglyceridaemia okozta akut pancreatitis miatt kezelt eseteket vizsg\u00e1lt\u00e1k. Olyan betegeket v\u00e1lasztottak be, akiknek sz\u00e9rumtriglicerid-szintje a felv\u00e9telkor 11,3 mmol\/l-n\u00e9l (\u22481000 mg\/dl) magasabb, vagy a tejszer\u0171 sz\u00e9rum miatt meghat\u00e1rozhatatlan volt. Az egy\u00e9b etiol\u00f3gi\u00e1j\u00fa akut pancreatitis miatt kezelt betegeket a tanulm\u00e1nyb\u00f3l kiz\u00e1rt\u00e1k.<jats:italic>Eredm\u00e9nyek:<\/jats:italic>Huszonhat beteg eset\u00e9ben [2 n\u0151, 24 f\u00e9rfi; \u00e1tlag\u00e9letkor: 42 \u00e9v (22\u201370)] igazol\u00f3dott hypertriglyceridaemia okozta akut pancreatitis. H\u00e1rom betegnek voltak recid\u00edv\u00e1i, \u00f6sszesen 7 alkalommal. Az \u00f6sszes akut pancreatitis 4,71%-a volt hypertriglyceridaemia-eredet\u0171. Az esetek 30,3%-\u00e1ban a hypertriglyceridaemia mellett di\u00e9tahiba is szerepelt az anamn\u00e9zisben. A betegek 57,6%-a fogyasztott rendszeresen alkoholt. A betegek 38,1%-\u00e1nak volt diabetes mellitusa, 9,1%-\u00e1nak pedig epek\u00f6ve. Az esetek 27,3%-\u00e1ban tejszer\u0171 volt a betegek sz\u00e9ruma felv\u00e9telkor. Az \u00e1tlagos trigliceridszint 47,24 mmol\/l (\u22484181 mg\/dl; 12,4\u2013103,8 mmol\/l) volt. A sz\u00e9rumamil\u00e1z-, illetve -lip\u00e1zszint csak a betegek 54,5, illetve 58,8%-\u00e1ban volt magasabb, mint a norm\u00e1l\u00e9rt\u00e9k h\u00e1romszorosa. H\u00e9t betegben (26,9%) volt nekrotiz\u00e1l\u00f3 t\u00edpus\u00fa a pancreatitis, 8 betegben (30,7%) pseudocysta alakult ki. Inzulin, heparin, plazmafer\u00e9zis \u00e9s fibr\u00e1t hat\u00e1s\u00e1ra a trigliceridszint az int\u00e9zeti kezel\u00e9s alatt 3,71 mmol\/l-re (\u2248328 mg\/dl) m\u00e9rs\u00e9kl\u0151d\u00f6tt.<jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic>A hypertriglyceridaemia okozta akut pancreatitis klinikai lefoly\u00e1sa nem k\u00fcl\u00f6nb\u00f6zik az egy\u00e9b etiol\u00f3gi\u00e1j\u00fa akut pancreatitist\u0151l. A sz\u00e9rumamil\u00e1z \u00e9s -lip\u00e1z az esetek jelent\u0151s r\u00e9sz\u00e9ben nem vagy csak minim\u00e1lisan emelkedett. Heparin, inzulin, fibr\u00e1t \u00e9s plazmafer\u00e9zis alkalmaz\u00e1sa sikeresen cs\u00f6kkenti a sz\u00e9rumtriglicerid-szintet, jav\u00edtja a klinikai k\u00e9pet. A recid\u00edva megel\u0151z\u00e9s\u00e9hez elengedhetetlen a sz\u00e9rumtriglicerid-szint alacsony szinten tart\u00e1sa. Orv. Hetil., 2010,<jats:italic>45,<\/jats:italic>1869\u20131874.<\/jats:p>","DOI":"10.1556\/oh.2010.28966","type":"journal-article","created":{"date-parts":[[2010,10,28]],"date-time":"2010-10-28T01:14:42Z","timestamp":1288228482000},"page":"1869-1874","source":"Crossref","is-referenced-by-count":14,"title":["Acute pancreatitis caused by hypertriglyceridemia"],"prefix":"10.1556","volume":"151","author":[{"given":"Tam\u00e1s","family":"Baranyai","sequence":"first","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar I. Belgy\u00f3gy\u00e1szati Klinika Szeged Pf. 469 6701"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikt\u00f3ria","family":"Terzin","sequence":"additional","affiliation":[{"name":"1 Szegedi Tudom\u00e1nyegyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar I. 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