血清弹力蛋白酶活性对急性胰腺炎严重度的预测

THE ACTIVITY OF ELASTASE IN SERUM TO PREDICATE ACUTE PANCREATITIS

收取３２例急性胰腺炎（ＡＰ）病人。检测入院后第１、３、５天血清弹力蛋白酶活性，以预测急性胰腺炎严重度。结果表明，入院１周内该酶活性在轻、重度ＡＰ及有并发症与无并发症组之间有显著差异（Ｐ＜０．０５）。笔者以下同酶活性阈值，应用特异性、敏感度、总准确率分别判断该酶预测预后的意义。入院第１天的酶活性对预测轻重度ＡＰ意义最大，而第１、５天的酶活性预测并发症意义最大。

The activity of elastase in serum of acute pancreatitis of thirty-two patients was studied.The results show:There is difference between mild and severe cases.There is also difference between complication and none complication.Additionally,the activity of elastase at 1st day is the most valuable in predicting mild and severe case,and that of the 1st, 5th, is important in predicting complications.