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血、尿淀粉酶的升高不只限于胰腺疾患。和胰腺一样,产生淀粉酶的主要器官还有唾液腺。特别是在急性腮腺炎时,可以看到血、尿淀粉酶升高。这种淀粉酶和由胰腺来的淀粉酶电泳移动度稍有不同。腮腺炎常合并有急性胰腺炎,这时由胰腺来的淀粉酶也随着增高。其次,穿孔性腹膜炎,特别是十二指肠溃疡穿孔时引起淀粉酶往血中逸出,这是因为由于溃疡穿孔,大量含有淀粉酶的十二指肠液漏至腹腔内,能被腹膜所吸收。有时,穿孔性腹膜炎和急性胰腺炎难以鉴别,两种情况的淀粉酶也难区别,但是,前者发病急剧,腹膜刺激症状明显。如果鉴别还有困难,应不失时机地行剖腹探查术。
Blood, urine amylase increase is not limited to pancreatic disorders. Like the pancreas, the main organ that produces amylase is the salivary gland. Especially in acute mumps, you can see the blood, urine amylase increased. This amylase and amylase from the pancreas electrophoresis mobility slightly different. Mumps often associated with acute pancreatitis, then the amylase from the pancreas also increased. Second, perforation peritonitis, especially perforation of duodenal ulcer causes amylase to escape into the blood, this is because a large number of amylase-containing duodenal fluid leaks into the abdominal cavity due to perforation of the ulcer and can be absorbed by the peritoneum . Sometimes perforation peritonitis and acute pancreatitis difficult to identify the two cases of amylase is difficult to distinguish, however, the former a sharp onset of symptoms of peritoneal irritation. If there are difficulties in identification, should take the opportunity to go laparotomy.