CAJ | 학술논문

目的：探讨合并急性上腹痛的血淀粉酶升高患者的具体病因。方法对2007年7月—2012年7月收治的71例伴有上腹部疼痛不适的血淀粉酶升高患者的临床资料进行回顾性分析。结果71例通过实验室及影像学检查有57例(80.3℅)发现了明确病因,其中胆道疾病41例(57.7℅),胰腺疾病14例(19.7℅),十二指肠憩室2例(2.8℅)。5例(7.0℅)通过脂肪酶检测明确诊断为急性胰腺炎。结论对于合并急性上腹痛的血淀粉酶升高的患者,应按照急性胰腺炎的常规诊疗程序对胆道及胰腺进行进一步的检查,80℅都可以发现明确病因,近半数存在胆道疾病。
목적：탐토합병급성상복통적혈정분매승고환자적구체병인。방법대2007년7월—2012년7월수치적71례반유상복부동통불괄적혈정분매승고환자적림상자료진행회고성분석。결과71례통과실험실급영상학검사유57례(80.3℅)발현료명학병인,기중담도질병41례(57.7℅),이선질병14례(19.7℅),십이지장게실2례(2.8℅)。5례(7.0℅)통과지방매검측명학진단위급성이선염。결론대우합병급성상복통적혈정분매승고적환자,응안조급성이선염적상규진료정서대담도급이선진행진일보적검사,80℅도가이발현명학병인,근반수존재담도질병。
Objective To investigate the causes of hyperamylasaemia complicated by abdominal pain. Methods Clinical data of 71 patients with hyperamylasaemia complicated by abdominal pain during July 2007 and July 2012 was retrospectively analyzed. Results A total of 57 patients (80. 3℅ ) out of 71 patients undertaking laboratory and iconog-raphy examinations were found to have clear causes of heperamylasaemia including 41 patients (57. 7℅ ) with biliary tract disease, 14 patients (19. 7℅ ) with pancreatic diseases and 2 patients (2. 8℅ ) with duodenal diverticulum. Five patients (7. 0℅ ) were diagnosed as having acute pancreatitis by serum lipase test. Conclusion Patients with non-diag-nostic hyperamylasaemia complicated by abdominal pain should be further examined according to the diagnosis and treat-ment protocol of acute pancreatitis. The 80℅ patients can be found clear causes of hyperamylasaemia, and nearly half of the patients have biliary tract diseases.