CAJ | 학술논문

　　目的探讨尿毒症患者血清淀粉酶升高的临床意义。方法选择2010年1月至2012年1月在本院内科住院的尿毒症患者80例进行临床意义分析。结果80例尿毒症患者的血清淀粉酶水平明显高于健康对照组，差异有统计学意义（P＜0.05）；80例尿毒症患者明确诊断合并急性胰腺炎12例，经禁食、抑制胰液和胰酶分泌等治疗7d后其血清淀粉酶水平较入院时降低，差异有统计学意义（P＜0.05）。结论尿毒症患者多伴有血清淀粉酶水平升高，不能轻易诊断合并急性胰腺炎。
　　목적탐토뇨독증환자혈청정분매승고적림상의의。방법선택2010년1월지2012년1월재본원내과주원적뇨독증환자80례진행림상의의분석。결과80례뇨독증환자적혈청정분매수평명현고우건강대조조，차이유통계학의의（P＜0.05）；80례뇨독증환자명학진단합병급성이선염12례，경금식、억제이액화이매분비등치료7d후기혈청정분매수평교입원시강저，차이유통계학의의（P＜0.05）。결론뇨독증환자다반유혈청정분매수평승고，불능경역진단합병급성이선염。
Objective To explore the clinical significance of uremia patients with elevated serum amylase. Methods Analysis of the clinical significance of 80 uremia patients which have been hospitalized in the Medicine Department of our hospital from January 2010 to January 2012. Results The levels of serum amylase of 80 uremia patients were significantly higher compared to controls (P<0.05). 12 uremia patients were clarified a diagnosis with complicating acute pancreatitis, and in comparison of the time of admission, the levels of serum amylase were significantly lower (P<0.05) after 7 days of the treatment, such as fasting, inhibition of the secretion of pancreatic juice and pancreatic enzymes and so on. Conclusion uremia patients usually have elevated levels of serum amylase, and can not be easily diagnosed with complicating acute pancreatitis.