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在临床工作中,我们发现部分慢性肾炎、慢性肾衰竭的患者血淀粉酶显著升高,但均无腹部压痛及其它胰腺炎体征,胰腺B超、CT完全正常。按急性胰腺炎给予禁食等治疗,血淀粉酶始终不能达正常值,反而出现禁食时不良反应;停止治疗后,患者未出现症状加重,且营养不良症状显著改善。怎样正确诊断肾小球疾病患者腹痛时是否真正患有急性胰腺炎,并进而确定有关治疗,是肾脏科医师要面对的问题。为此我们进行了初步的临床研究。
In clinical work, we found that patients with chronic nephritis and chronic renal failure had significantly elevated serum amylase, but no signs of abdominal tenderness and other pancreatitis. The pancreas had B-ultrasound and CT completely normal. Acute pancreatitis by fasting and other treatment, blood amylase can not always reach the normal value, but appeared fasting adverse reactions; stop treatment, the patient did not appear symptoms, and significantly improved malnutrition symptoms. How to correctly diagnose patients with glomerular diseases is really suffering from acute pancreatitis and abdominal pain, and then determine the treatment, nephrologists face the problem. To this end we conducted a preliminary clinical study.