摘要
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%),2～12h、12～24h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2～12h、12～24h血淀粉酶分别(381.9±67.7)、(293.4±64.7)U/L。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。
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 cases of abdominal diseases with high level amylase were classified and retrospectively analyzed. Results： 21 cases of pancreatitis（25%）,25 cases of cholecystitis（29.7%）,14 cases of pyoperitonitis（16.6%）,5 cases of digestive ulcer（6%）,l 1 cases of acute appendicitis（13.7%）, 8 cases of bowel obstruction（9%）, amylase level of 2-12 h, 24-48 h of pancreatitis group was （465.1±211.4）, （509.1±89.9） U/L respectively; 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.
出处
《中国医药导报》
CAS
2009年第21期21-21,25,共2页
China Medical Herald
关键词
淀粉酶
腹部疾病
鉴别诊断
Amylase
Abdominal diseases
Differential diagnosis
