摘要
目的:运用实验室血尿淀粉酶检验指标对急性胰腺炎的诊断提供参考。方法:观察我院2010～2011年收治的急性胰腺炎患者19例,探讨在不同的病变过程中血尿淀粉酶的变化情况。结果:19例急性胰腺炎患者血尿淀粉酶测定指标都不同程度的高出正常值,其中有2例误诊。结论:急性胰腺炎(AP)起病急,发展迅速,演变复杂,临床表现不典型,容易误诊,导致不良后果。因此,凡遇突然发作的持续性腹痛,应详细询问病史,认真查体,结合血尿淀粉酶测定,综合分析,可减少误诊。
Objective： To use the laboratory blood and urine amylase test index for reference of the diagnosis of acute pancreatitis. Methods： The blood and urine amylase index was determined in 19 patients with acute pancreatitis during 2010-2011 to investigate its changes in different stages of the disease. Results： The value of the index was significantly higher in the 19 patients than in normal controls. Two cases were misdiagnosed. Conclusion： Acute pancreatitis with rapid onset, rapid development, evolution of complex, atypical clinical manifestation, is easy to be misdiagnosed, leading to adverse consequences. Upon finding the sudden onset of persistent abdominal pain, the patient should be asked in detail aboutthe history and careful examination and detection of blood and urine amylase should be performed to reduce the misdiagnosis rate.
出处
《中国医学装备》
2012年第2期73-74,共2页
China Medical Equipment
关键词
急性胰腺炎
淀粉酶
误诊
Acute pancreatitis
Amylase
Misdiagnosis
