肾综合征出血热患者胰腺功能变化的临床研究  

The clinical study of pancreas function of patients with renal syndrome

作　　者：孙朝霞[1] 孙希平[1] 冯爱芳[1] 夏德全[1] 

机构地区：[1]潍坊市益都中心医院,山东青州262500

出　　处：《山东医药》2000年第16期11-12,共2页Shandong Medical Journal

摘　　要：将 6 5例确诊为肾综合征出血热 (HFRS)的住院患者列为观察组 ,选 10例正常者作为对照组。监测 HFRS患者各期的空腹血糖、血淀粉酶、脂肪酶及胰岛素含量 ,并随机选出 30例 HFRS患者 ,于发热末期或少尿期行口服葡萄糖耐量试验及胰岛素释放试验 (口服 75 g糖 )。发现 HFRS患者在发热期即出现血糖、血淀粉酶、脂肪酶及胰岛素水平升高、服糖后胰岛素释放减少、糖耐量减低。此变化在少尿期最显著 ,多尿期次之 ,恢复期渐正常 ,极重型、重型者较中型、轻型者变化更显著 ,说明 HFRS患者胰腺功能损害与病程进展及轻重相一致 ,检测胰腺功能有助于 HFRS的早期诊断和病情判断。在治疗中输糖时应给予适量胰岛素 ,以促进糖的利用 。patients with hemorrhagic fever with renal syndrome (HFRS)as the observing group while 10 health people as the control group to detect the blood glucose,amylase,lipase and insulin of patients at limosis In addition,30 patients with HFRS were detected oral glucose tolerance test(OGTT)and insulin release test Results showed that there were various changes in the patients with HFRS,the blood glucose,amylase,lipase and insulin rise whereas the OGTT and insulin release test reduce druing the fever perild The changes are most evident in cliguria period,more evident in diuresis perild and become normal in recovery period The more severe the patients are,the more evident the changes are It suggests the damage of pancreas function is in accord with the extent of HFRS,it could reflect the trend of HFRS to detect the pancreas function

关 键 词：肾综合征出血热 血糖 淀粉酶 脂肪酶 胰腺功能 

分 类 号：R512.806[医药卫生—内科学] R576[医药卫生—临床医学]