实验室检查对流行性腮腺炎合并胰腺炎的诊断价值分析

A clinical study on parotitis with pancreatitis

目的探讨流行性腮腺炎并胰腺炎实验室检查的临床诊断价值。方法对流行性腮腺炎45例、流行性腮腺炎并胰腺炎24例、流行性腮腺炎并脑膜脑炎39例均行血清淀粉酶、脂肪酶检测和腹部B型超声检查,并对检查结果分别进行统计学分析。结果流行性腮腺炎并胰腺炎组血脂肪酶和腹部B超检查结果与其他两组差异均有统计学意义(χ2=58·68,P<0·005)。结论血清脂肪酶测定是诊断流行性腮腺炎并胰腺炎的重要手段,联合检测血清淀粉酶可提高诊断阳性率,腹部B型超声检查是重要的辅助手段。

Objective To explore the investigative studies of experimental value on the children suffered from a parotitis with pancreatitis. Methods 108 children patients were divided into 3 sub-groups：parotitis,parotitis with minigitis, parotitis with pancreatitis. 45 cases were pantitis, 24 were parotitis with pancreatitis and 39 were parotitis with minigititis. All the patients had serum amylase, serum lipase and abdominal B-ultrasound detected. All the results were statistically analyzed. Results The patients who had parotitis with pancreatitis were higher at abnonmal serum lipase and B-ultrasound（χ^2= 58. 68, P 〈 0. 005）. It had statistic significance compared with other subgroups. Conclusion To detect serum lipase is an important diagnostic method for parotitis with pancreatitis complication. It can improve the diagnostic positive rate by combing with the serum amlyase examination. The abdominal B-ultrasound detection is an important adjunctive method .