血淀粉酶升高合并急性上腹痛的病因学分析  

Etiology Analysis of Hyperamylasaemia Complicated by Acute Upper Abdominal Pain

作　　者：陈涛[1] 胡睿东 闫洪涛[1] 石力[1] 崔健峰[1] 邹洪[1] 

机构地区：[1]成都军区总医院全军普通外科中心,成都610083

出　　处：《解放军医药杂志》2014年第7期21-23,共3页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：成都军区十二五课题(C14031)

摘　　要：目的探讨合并急性上腹痛的血淀粉酶升高患者的具体病因。方法对2007年7月—2012年7月收治的71例伴有上腹部疼痛不适的血淀粉酶升高患者的临床资料进行回顾性分析。结果 71例通过实验室及影像学检查有57例(80.3%)发现了明确病因,其中胆道疾病41例(57.7%),胰腺疾病14例(19.7%),十二指肠憩室2例(2.8%)。5例(7.0%)通过脂肪酶检测明确诊断为急性胰腺炎。结论对于合并急性上腹痛的血淀粉酶升高的患者,应按照急性胰腺炎的常规诊疗程序对胆道及胰腺进行进一步的检查,80%都可以发现明确病因,近半数存在胆道疾病。Objective To investigate the causes of hyperamylasaemia complicated by abdominal pain. Methods Clinical data of 71 patients with hyperamylasaemia complicated by abdominal pain during July 2007 and July 2012 was retrospectively analyzed. Results A total of 57 patients （80. 3℅ ） out of 71 patients undertaking laboratory and iconog-raphy examinations were found to have clear causes of heperamylasaemia including 41 patients （57. 7℅ ） with biliary tract disease, 14 patients （19. 7℅ ） with pancreatic diseases and 2 patients （2. 8℅ ） with duodenal diverticulum. Five patients （7. 0℅ ） were diagnosed as having acute pancreatitis by serum lipase test. Conclusion Patients with non-diag-nostic hyperamylasaemia complicated by abdominal pain should be further examined according to the diagnosis and treat-ment protocol of acute pancreatitis. The 80℅ patients can be found clear causes of hyperamylasaemia, and nearly half of the patients have biliary tract diseases.

关 键 词：高淀粉酶血症 胰腺炎 胆道疾病 

分 类 号：R589.9[医药卫生—内分泌]