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急性胰腺炎,特别是水肿型胰腺炎,上腹部疼痛常无特征性,仅凭症状和体征不能确诊,尚须仰赖生化诊断。本文综述急性胰腺炎生化检查的方法和诊断价值。血清淀粉酶胰腺合成的胰酶,大部分分泌入十二指肠,而其中一部分向淋巴和血液溢出。在生理情况下,胰酶在血清中也保持一定的水平。急性胰腺炎时,胰腺实质细胞损伤,胰酶向血液溢出增加,故血清胰酶测定具有诊断意义。胰酶中以淀粉酶(Am)最为稳定,测定法亦较简便,常用于胰腺炎的诊断。急性胰腺炎发作后,血清Am在2-12小
Acute pancreatitis, especially edematous pancreatitis, often characterized by pain in the upper abdomen, can not be diagnosed solely on the basis of symptoms and signs and has to rely on biochemical diagnosis. This review summarizes the methods and diagnostic value of biochemical tests for acute pancreatitis. Serum amylase Pancreatic pancreatic enzymes, mostly secreted into the duodenum, and some of them to the lymph and blood spill. In physiological conditions, trypsin in the serum also maintain a certain level. Acute pancreatitis, pancreatic parenchymal cells damage, trypsin to increase blood spill, so serum pancreatin has diagnostic significance. Trypsin to amylase (Am) the most stable, the assay is also relatively simple, commonly used in the diagnosis of pancreatitis. After the onset of acute pancreatitis, serum Am in 2-12 small