The blood drawn out will automatically stratify! A 24-year-old boy in Guangzhou drew a tube of blood, and half a tube of grease precipitated out half an hour later, and even the doctor lamented that he had never seen it before...
Deeply investigating the reason, in addition to the fact that the young man has a very high BMI index and is severely obese, his triglyceride index exceeds the upper limit of the normal value by nearly 12 times! Patients with such severe hypertriglyceridemia are clinically rare and dangerous. This not only causes the blood to thicken and slow down the flow, but also accelerates the hardening of the lining of the blood vessels. "Blood vessel blockage can be fatal, and the fatal diseases of cerebral infarction, myocardial infarction, kidney failure, pulmonary embolism, and even severe pancreatitis are all related to hypertriglyceridemia." Yang Jingge, director of the First District of gastrointestinal surgery at the First Affiliated Hospital of Jinan University, said that after treatment such as weight loss surgery, the boy's weight and triglyceride indicators began to decline.
Blood drawn from the lad's body
The lad is severely obese
Half of the blood drawn was oil
Kobayashi (pseudonym), 24, loves to smoke and loves sweets. He is 178 cm tall, weighs 113 kg, has a BMI index of 36, and is severely obese. Kobayashi's father said that Kobayashi had taken a variety of methods to lose weight, but none of them succeeded. At a young age, hyperuricemia, insulin resistance, hypertriglyceridemia and other metabolic diseases have found the door. His father took him to the hospital. Chief physician Yang Jingge said: When we examined him, we drew a tube of blood from him, and after half an hour, we could precipitate most of the tube of grease. Other components of blood, such as red blood cells, account for less than half of them. The final examination results showed that Kobayashi's triglyceride value was 20.33, and the normal value was 0.56-1.7, which exceeded the upper limit of the normal value by nearly 12 times. A definitive diagnosis of very severe hypertriglyceridemia can be confirmed.
Yang Jingge introduced that looking at a person's fat index, it is generally measured by four indicators: total cholesterol, triglycerides, high-density lipoprotein, and low-density lipoprotein. Among them, triglycerides and low-density lipoprotein are abnormal, which are particularly harmful to human blood vessels. The human body's triglycerides are abnormally high, which is particularly prone to cause lethal diseases such as kidney failure, liver failure, pulmonary embolism, myocardial infarction, cerebral infarction and gangrene of the limbs. When the blood becomes viscous, the flow rate will slow down, and the oil deposition into the lining of the blood vessels will easily cause hardening of the blood vessels. Increasing hardening of the arteries can lead to obstruction of blood flow. Generally, where the stem goes, which organ is ischemia and exhaustion. If it occurs in the brain, there will be cerebral infarction and stroke; if it occurs in the heart, there will be myocardial infarction; if it occurs in the retina of the eye, it will cause blindness; if it occurs in the kidneys, it will cause kidney failure; if it occurs in the hands, feet and other parts, it will cause ischemic necrosis. Another major hazard of hypertriglyceridemia is the susceptibility to severe pancreatitis. "The pancreas secretes pancreatic juice uncontrollably, which eventually digests the pancreas itself, and the mortality rate is extremely high."
Treatment: Weight loss is the primary task Yang Jingge introduced, hypertriglyceridemia on the one hand and family genetics, patients because of the lack of special decomposition enzymes, resulting in triglyceride hoarding, so that the indicators are super high. But Kobayashi's father had normal triglycerides and there were no similar cases in the family, so genetic factors were quickly ruled out. "On the other hand, there are secondary factors, mainly related to metabolism. For example, diabetes, obesity, thyroid dysfunction, taking special drugs such as hormone drugs, etc., can also cause triglyceride abnormalities. After being excluded item by item through consultation, it was found that the cause of his hyperlipidemia was precisely because of excessive obesity. "The treatment for Kobayashi includes three points: one is to lose weight, the second is to take related drugs, and the third is to quit smoking. Weight loss is a top priority. Since Kobayashi had failed to lose weight many times before, coupled with the indications for surgical weight loss, it was decided to give him a sleeve gastrectomy. After the operation, Kobayashi's indicators dropped significantly, and on the fourth day after the operation, his original triglycerides of more than 20 dropped to 5.49, although it still exceeded the standard, but it would not be so outrageous. On the day of discharge, the young man's triglycerides further dropped to 4.91, a decrease of 3/4 from when he was admitted to the hospital. As the weight slowly decreases and metabolic problems such as insulin resistance gradually improves, Kobayashi's physical condition will gradually improve.
Source: Guangzhou Daily