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在病人患上腹部疼痛并有血清淀粉酶升高的情况下,往往提示是胰腺炎。但在许多其他疾病也可以有血清淀粉酶升高,特别是胆总管结石的临床表现与之极为类似,且也往往继发胰腺炎。由于胆总管结石患者宜作早期手术,而在急性胰腺炎患者则应避免手术,故需要找出鉴别二者的标准。本文试图在病史、体检和实验室检验各方面找出最有利于鉴别胰腺炎和伴高淀粉酶血症的胆总管梗阻的因素。在患胆总管结石而无胰腺炎,但又有血清淀粉酶增高的情况下,与胰腺炎鉴别往往是相当困难的。作者对37例经外科或X线确诊为急性胰腺炎、不伴有胰腺炎的胆总管结石或伴有急性胰腺炎的胆总管结石等患者作了研究。发现胆总管结石患者的右上腹部比伴
In patients with abdominal pain and elevated serum amylase, it is often suggested that pancreatitis. However, in many other diseases, serum amylase may also be elevated, especially clinical manifestations of common bile duct stones are very similar, and often secondary to pancreatitis. Because patients with common bile duct stones should be treated early, and patients with acute pancreatitis should avoid surgery, it is necessary to identify criteria to identify both. This article attempts to find out in the medical history, physical examination and laboratory tests in all aspects of the most conducive to the identification of pancreatitis and hypermycotic hyperlipidemia of the common bile duct obstruction factors. In the common bile duct stones without pancreatitis, but there are cases of elevated serum amylase, and pancreatitis is often very difficult to identify. The authors studied 37 patients diagnosed with acute pancreatitis by surgery or X-ray, choledocholithiasis without pancreatitis or choledocholithiasis with acute pancreatitis. Found in patients with common bile duct stones than the right upper body companion