家族性高三酰甘油血症(FHTG)为原发性疾病,表现为单纯性三酰甘油升高。最早诊断标准为先证者三酰甘油升高;家系至少两个一级亲属患病;排除继发性高三酰甘油血症。随着研究的深入,其诊断标准也在不断增加,最新的诊断标准中加入总载脂蛋白B水平。FHTG的确诊还需与其他原发及继发性高三酰甘油血症相鉴别。该文就FHTG的临床诊断标准及鉴别诊断进行综述。
Familial hypertriglyceridemia(FHTG) is a primary disease ,characterized by elevated triglyceride levels. The first diagnosis of familial hypertriglyeeridemia was based on elevated plasma triglyeeride levels of proband, at least two first-degree relatives with hypertriglyeeridemia, excluding secondary hypertriglyceridemia. With the deepening of the research, diagnostic criteria is also growing, and total apolipoprotein B level is added to the latest standards. The confirmed diagnosis of FHTG needs identification from other primary and secondary hypertriglyeeridemia. Here is to make a review of the clinical diagnostic criteria and differential diagnosis of FHTG.