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血清和尿淀粉酶的升高,往往提示为胰腺炎的诊断,但是其他外科急腹症时亦可升高,特别是在阑尾炎时淀粉酶的升高并没有被广泛引起注意,为此而影响了开始的治疗及预后。术文作者对弗吉尼亚医学院附属医院155例阑尾炎术前血清和尿淀粉酶的测定作了研究,其中有15例(9.8％)血清或尿淀粉酶升高,男10例女5例,8例仅血清淀粉酶升高,4例为血清及尿同时升高,3例仅尿升高。5例(33％)因高血淀粉酶症或高尿淀粉酶症被误诊为急性胰腺炎,其中3例为阑尾穿孔,2例误诊引起并发症而延长了住院时间,但未死亡。在误诊组中,1例仅血清淀粉酶升高,2例为血及尿淀粉酶均
Serum and urinary amylase, often prompted the diagnosis of pancreatitis, but other surgical acute abdomen may also be increased, especially in the appendicitis increased amylase and has not been widely drawn attention to this effect The beginning of treatment and prognosis. The authors studied the determination of serum and urinary amylase in 155 patients with appendicitis in the Affiliated Hospital of Virginia School of Medicine, including 15 (9.8%) patients with elevated serum or urinary amylase, 5 males and 10 females, and 8 Only serum amylase increased, 4 cases of serum and urine increased at the same time, 3 cases of urinary increased. Five patients (33%) were misdiagnosed as acute pancreatitis due to amyloidosis or hyperuricemia, 3 of them were perforation of the appendix. Two patients were misdiagnosed as complications and prolonged hospital stay but did not die. In the misdiagnosis group, only 1 case of serum amylase increased, 2 cases of blood and urine amylase were