正常人在餐后查血，也有可能出现“油质血（lipemia）”的状况。但是如果空腹血脂很高，又有家族史，

可以是家族性高血脂症，可以有不同种类型，而且多有其他临床表现：

Familial hyperlipidemias

Fredrickson classification of hyperlipidemias

Hyperlipo- proteinemia		OMIM	Synonyms	Defect	Increased lipoprotein	Main symptoms	Treatment	Serum appearance	Estimated prevalence
Type I	a	238600	Buerger-Gruetz syndrome or familial hyperchylomicronemia	Decreased lipoprotein lipase (LPL)	Chylomicrons	Acute pancreatitis, lipemia retinalis, eruptive skin xanthomas, hepatosplenomegaly	Diet control	Creamy top layer	One in 1,000,000[4]
	b	207750	Familial apoprotein CII deficiency	Altered ApoC2
	c	118830		LPL inhibitor in blood
Type II	a	143890	Familial hypercholesterolemia	LDL receptor deficiency	LDL	Xanthelasma, arcus senilis, tendon xanthomas	Bile acid sequestrants, statins, niacin	Clear	One in 500 for heterozygotes
	b	144250	Familial combined hyperlipidemia	Decreased LDL receptor and increased ApoB	LDL and VLDL		Statins, niacin, fibrate	Turbid	1 in 100
Type III		107741	Familial dysbetalipoproteinemia	Defect in Apo E 2 synthesis	IDL	Tuboeruptive xanthomas and palmar xanthomas	Fibrate, statins	Turbid	One in 10,000[5]
Type IV		144600	Familial hypertriglyceridemia	Increased VLDL production and decreased elimination	VLDL	Can cause pancreatitis at high triglyceride levels	Fibrate, niacin, statins	Turbid	One in 100
Type V		144650		Increased VLDL production and decreased LPL	VLDL and chylomicrons		Niacin, fibrate	Creamy top layer and turbid bottom

 

Relative prevalence of familial forms of hyperlipoproteinemia^[6]

所有跟帖： 

• 谢谢信息，受教。他是否有家族史不知道。他的情况是基因问题，这是肯定的。另外他并没有什么症状，很奇怪。 -欲千北- ♂ (0 bytes) () 06/05/2016 postreply 20:15:11