Splanchnic vein thrombosis secondary to severe acute pancreatitis treated with regional anticoagulation via transjugular intrahepatic portosystem stent-shunt

Pancreatology(2016)

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摘要
s / Pancreatology S12 who received the plasma exchange treatment.We then compared the level of triglycerides before and after the treatment. We also compared the mortality and morbidity rates. Lastly, we compared the results of TG levels, hospital length of stay, and mortality rates in subgroups which received the plasma exchange therapy within 24 h and after 24 h. Result: 1. Statistically significant difference in TG levels between the PE and NPE treatment was found. 2. There was a statistically significant difference in AMY level between patients who received PE treatment and those who did not after a week. 3. There was statistically significant difference in intensive care unit length of stay, system complication incidence, recurrence rate, and mortality rate between patients with severe pancreatitis (Ranson scores 3) who received the PE treatment and thosewho did notwhile no statistically significant difference was found in HLOS, local complication incidence. 4. There was no statistically significant difference in triglycerides level within 24 and after 24 hours of treatment but the difference between HLOS and mortality rate was statistically significant. Conclusion: Plasma exchange is associated with a higher rate of recovery in patients with severe hyperlipidemia pancreatitis complications as PE significantly lowers the level of triglyceride. Furthermore, early PE treatment could reduce HLOS and mortality rate.
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