中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2009年
21期
21,25
,共2页
淀粉酶%腹部疾病%鉴别诊断
澱粉酶%腹部疾病%鑒彆診斷
정분매%복부질병%감별진단
Amylase%Abdominal diseases%Differential diagnosis
目的:探讨常见腹部疾病血清淀粉酶水平及其升高可能的原因及临床意义.方法:对84例以腹部症状就诊,伴有血清淀粉酶升高的患者进行归类和回顾性分析.结果:胰腺炎21例(25%),2～12 h、12～24 h血淀粉酶分别为(465.1±211.4)、(509.1±89.9)U/L.非胰源性疾病:胆囊炎25例(29.7%)、急性腹膜炎14例(16.6%)、急性阑尾炎11例(13.7%)、肠梗阻8例(9%)、溃疡病5例(6%),非胰源性疾病2～12 h、12～24 h血淀粉酶分别(381.9～67.7)、(293.4±64.7)U几.结论:除胰源性淀粉酶升高外,许多腹部疾病均可引起淀粉酶升高.鉴别胰源性与非胰源性淀粉酶升高具有重要意义.
目的:探討常見腹部疾病血清澱粉酶水平及其升高可能的原因及臨床意義.方法:對84例以腹部癥狀就診,伴有血清澱粉酶升高的患者進行歸類和迴顧性分析.結果:胰腺炎21例(25%),2～12 h、12～24 h血澱粉酶分彆為(465.1±211.4)、(509.1±89.9)U/L.非胰源性疾病:膽囊炎25例(29.7%)、急性腹膜炎14例(16.6%)、急性闌尾炎11例(13.7%)、腸梗阻8例(9%)、潰瘍病5例(6%),非胰源性疾病2～12 h、12～24 h血澱粉酶分彆(381.9～67.7)、(293.4±64.7)U幾.結論:除胰源性澱粉酶升高外,許多腹部疾病均可引起澱粉酶升高.鑒彆胰源性與非胰源性澱粉酶升高具有重要意義.
목적:탐토상견복부질병혈청정분매수평급기승고가능적원인급림상의의.방법:대84례이복부증상취진,반유혈청정분매승고적환자진행귀류화회고성분석.결과:이선염21례(25%),2～12 h、12～24 h혈정분매분별위(465.1±211.4)、(509.1±89.9)U/L.비이원성질병:담낭염25례(29.7%)、급성복막염14례(16.6%)、급성란미염11례(13.7%)、장경조8례(9%)、궤양병5례(6%),비이원성질병2～12 h、12～24 h혈정분매분별(381.9～67.7)、(293.4±64.7)U궤.결론:제이원성정분매승고외,허다복부질병균가인기정분매승고.감별이원성여비이원성정분매승고구유중요의의.
Objective: To investigate the amylase level of common abdominal diseases,and analyze both possible cause and clinic significance of those diseases with high amylase level. Methods: The clinical data of 84 eases of abdominal diseases with high level amylase were classified and retrospectively analyzed. Results: 21 cases of pancreatitis(25%),25 cases of chole-cystitis(29.7%),14 eases of pyoperitonitis(16.6%),5 eases of digestive ulcer(6%),11 cases of acute appendicitis(13.7%), 8 cases of bowel obstruction(9%), amylase level of 2-12h, 24-48 h of panereatitis group was (465.1±911.4), (509.1±89.9) U/L re-spectively; that of non-pancreatitis group was (381.9±67.7),(293.4±64.7) U/L respectively. Conclusion: Besides pancreatitis, many other abdominal disease can also lead to levels of serum amylase heighten, it is significant to identify the pancreatic and non-pancreatic disorders.
