以腹痛为主要症状,实验室提示血淀粉酶升高超过正常参考值高限3倍的典型胰腺炎,诊断难度不大。但作者在急诊工作中遇到为数不多的无腹痛或腹痛症状不明显,伴或不伴有血淀粉酶的明显升高的急性胰腺炎患者,临床出现误诊,现报告分析如下。1临床资料本组共4例,男性3例,女性1例;年龄 Abdominal pain as the main symptom, the laboratory prompted the blood amylase increased more than 3 times the upper limit of normal reference typical pancreatitis, the diagnosis is not difficult. However, the author encountered a small number of emergency work without abdominal pain or abdominal pain was not obvious symptoms, with or without serum amylase significantly elevated patients with acute pancreatitis, clinical misdiagnosis, the report is analyzed as follows. A clinical data of this group a total of 4 cases, 3 males and 1 females; age