尿毒症患者血清淀粉酶升高的临床意义分析  

Analysis of the Clinical Significance of Uremia Patients with Elevated Serum Amylase

作　　者：林海仁 符家武 邱壮丽 

机构地区：[1]广东省雷州市人民医院内科,广东湛江524200

出　　处：《中国医药指南》2013年第22期63-64,共2页Guide of China Medicine

摘　　要：目的探讨尿毒症患者血清淀粉酶升高的临床意义。方法选择2010年1月至2012年1月在本院内科住院的尿毒症患者80例进行临床意义分析。结果 80例尿毒症患者的血清淀粉酶水平明显高于健康对照组,差异有统计学意义(P<0.05);80例尿毒症患者明确诊断合并急性胰腺炎12例,经禁食、抑制胰液和胰酶分泌等治疗7d后其血清淀粉酶水平较入院时降低,差异有统计学意义(P<0.05)。结论尿毒症患者多伴有血清淀粉酶水平升高,不能轻易诊断合并急性胰腺炎。Objective To explore the clinical significance of uremia patients with elevated serum amylase. Methods Analysis of the clinical significance of 80 uremia patients which have been hospitalized in the Medicine Department of our hospital from January 2010 to January 2012. Results The levels of serum amylase of 80 uremia patients were significantly higher compared to controls （P〈0.05）. 12 uremia patients were clarified a diagnosis with complicating acute pancreatitis, and in comparison of the time of admission, the levels of serum amylase were significantly lower （P〈0.05） after 7 days of the treatment, such as fasting, inhibition of the secretion of pancreatic juice and pancreatic enzymes and so on. Conclusion uremia patients usually have elevated levels of serum amylase, and can not be easily diagnosed with complicating acute pancreatitis.

关 键 词：尿毒症 急性胰腺炎 血清淀粉酶 临床意义 

分 类 号：R692.5[医药卫生—泌尿科学] R576[医药卫生—外科学]