血清胆碱脂酶测定对鉴别肝硬化及消化性溃疡并发上消化道出血的意义

Discriminating complicated hemorrhage of liver cirrhosis and peptic ulcer by serum cholinesterase

目的探讨血清胆碱脂酶对鉴别肝硬化失代偿及消化性溃疡并发出血的意义。方法回顾性分析肝硬化及消化性溃疡并发出血病例110例,分析其入院时的血清胆碱脂酶值。结果肝硬化组血清胆碱脂酶为(98.96+43.15)u/L,消化性溃疡组血清胆碱脂酶为(238.86±51.87)u/L,差异有统计学意义(P<0.001)。结论血清胆碱脂酶可作为鉴别肝硬化及消化性溃疡并发出血的一简单有效的方法。

Objective：To investigate the role of serum cholinesterase in discriminating complicated haemorrhage of liver cirrhosis and peptic ulcer. Methods：The clinical data of 110 patients with complicated haemorrhage of liver cirrhosis and peptic ulcer treated in our hospital within one year were analyzed retrospectively. Results ：The mean serum eholinesterase of liver cirrhosis was（ 98.96 ＋ 43.15 ） u/ L,but the mean serum cholinesterase of peptic ulcer was（238.86 ＋51.87）u/L. The difference was significant between the two groups （P 〈 0.001 ）. Condusions： It is simple and effective to discriminate haemorrhage of liver cirrhosis and peptic ulcer by determining serum cholinesterase.