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Prikaz timskog zbrinjavanja obolelog od akutnog teškog dislipidemijskog pankreatitisaiskustvo jednog tercijernog zdravstvenog centra

Marija Popin-Tarić ,
Marija Popin-Tarić
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Zoran Gluvić ,
Zoran Gluvić
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Bojan Mitrović ,
Bojan Mitrović
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Vladimir Samardžić ,
Vladimir Samardžić
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Milena Lačković ,
Milena Lačković
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Anita Vasić-Vlaisavljević ,
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Aleksandar Stanojević ,
Aleksandar Stanojević
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Adrijana Kulić ,
Adrijana Kulić
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Vesna Libek ,
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Ivana Resanović ,
Ivana Resanović
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Esma Isenović Orcid logo
Esma Isenović
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Published: 01.12.2016.

Biochemistry

Volume 33, Issue 3 (2017)

pp. 1557-1562;

https://doi.org/10.5937/matmed1703557p

Abstract

U okviru ovog rada prikazan je slučaj bolesnika sa komplikovanim akutnim dislipidemijskim pankreatitisom u čijem je zbrinjavanju učestvovao tim, koji su činili endokrinolozi, gastroenterolozi i transfuziolozi. Dislipidemija, prevashodno tip IV dislipidemije, predstavlja čest uzrok nastanka akutnog pankreatitisa u populaciji mladih ljudi, posebno u slučajevima nezadovoljavajuće komplijanse (neredovno uzimanje preporučenih fibrata i nepridržavanje higijensko-dijetetskog režima). Tretman akutnog pankreatitisa se nezavisno od etiologije, zbog težine stanja, kompleksnosti lečenja i monitoringa bolesnika, sprovodi u Jedinicama intenzivnog lečenja. U slučajevima kada je dislipidemija uzrok akutnog pankreatitisa, često se u sklopu akutnog zbrinjavanja sprovodi i terapijska izmena plazme, kojom se brzo i značajno koriguju nivoi lipida, prevashodno triglicerida. Terapijska izmena plazme zahteva aktivnost transfuzioloških ekipa, koje su u manjim centrima, često nedostupne.

Keywords

dislipidemija,

pankreatitis,

plazma,

tigliceridi dyslipidaemia,

pancreatitis,

plasma,

triglycerides

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