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作 者:程勇卫[1] 王朝霞 Cheng Yongwei;Wang Zhaoxia(Digestive Department of Shenzhen Children′s Hospital,Shenzhen 518036,China)
机构地区:[1]深圳市儿童医院消化科,518036
出 处:《中国小儿急救医学》2023年第7期490-493,共4页Chinese Pediatric Emergency Medicine
摘 要:胰腺功能评估包含内分泌功能和外分泌功能评估。胰腺内分泌功能不全可导致胰腺相关性糖尿病,常通过空腹血糖、餐后2h血糖、糖化血红蛋白检查来评估胰腺内分泌功能。胰腺外分泌功能不全可导致腹痛、腹胀、脂肪泻、营养不良、体重减轻等表现,胰腺外分泌功能不全表现常不典型,难以对胰腺外分泌功能准确评估,因此胰腺外分泌功能评估显得尤其重要。评估胰腺外分泌功能的方法有间接法和直接法。目前最常用的直接检测法是静脉麻醉内镜下胰腺功能检测法;粪便弹力蛋白酶-1是目前常用的间接检测法。The evaluation of pancreatic function includes the evaluation of endocrine function and exocrine function.Insufficiency of pancreatic endocrine function can lead to pancreatic related diabetes.The pancreatic endocrine function is often evaluated by fasting blood glucose,two hours postprandial blood glucose,and glycosylated hemoglobin.Pancreatic exocrine dysfunction can lead to abdominal pain,abdominal distension,fatty diarrhea,malnutrition,weight loss and other manifestations.Pancreatic exocrine dysfunction is often atypical,and it is difficult to accurately evaluate pancreatic exocrine function,so the evaluation of pancreatic exocrine function is particularly important.There are indirect and direct methods to evaluate pancreatic exocrine function.At present,the most commonly used direct detection method is the detection of pancreatic function under intravenous anesthesia endoscope.Fecal elastase-1 is a commonly used indirect detection method at present.
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