84例淀粉酶升高的常见腹部疾病临床分析

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.

Clinical analysis of 64 cases of common abdominal diseases with heighten amylase

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.