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目的探讨血清脂肪酶(Lps)在小儿流行性腮腺炎并急性胰腺炎诊断中的临床价值。方法将36例流行性腮腺炎并急性胰腺炎(AP)患儿设为检测组,另以20例单纯流行性腮腺炎(非AP)患儿为对照组,在入院后24~48h同时测定Lps和淀粉酶(Amy)的浓度,比较两种酶在诊断中的敏感性和特异性。结果Lps诊断流行性腮腺炎并急性胰腺炎的敏感度为97.2%,特异度为95.0%,Amy的敏感度为91.7%,特异度为80%,两者比较P<0.05。结论在小儿流行性腮腺炎并急性胰腺炎的诊断中,血清脂肪酶较淀粉酶有更高的临床价值。
Objective To investigate the clinical value of serum lipase (Lps) in the diagnosis of acute mumps and acute pancreatitis in children. Methods Thirty-six children with mumps and acute pancreatitis (AP) were enrolled as test group. Another 20 mumps (non-AP) children were used as control group. Lps And amylase (Amy) concentration, the two enzymes in the diagnosis of sensitivity and specificity. Results The sensitivity and specificity of Lps for the diagnosis of mumps and acute pancreatitis were 97.2% and 95.0%, respectively. The sensitivity and specificity of Amy were 91.7% and 80% respectively, P <0.05. Conclusion Serum lipase has higher clinical value than amylase in the diagnosis of mumps and acute pancreatitis.