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作者检查了传染性肝炎(35例),急性胆囊炎(23例)、胆石病并发阻塞性黄疸(18例)、胰头癌(13例)、转移性肝癌(24例)共113例患者血清胰肽酶和己糖激酶的活性,并以15例健康人为对照组。急性胆囊炎患者血清胰肽酶活性明显增高。胆石病并发阻塞性黄疸者增高更加显著,黄疸持续越久则胰肽酶活性也越高。胰头癌引起黄疸时胰肽酶活性相当高,而传染性肝炎引起黄疸时血清胰肽酶活性较对照组低。因此血清胰肽酶的测定对阻塞性黄疸和肝细胞性黄疸的鉴别有一定意义。健康人血清中无己糖激酶,如超过5个国际单位则为阳性。23例急性胆囊炎患者中仅1例阳性(9个国际单位),18例胆石病并发阻塞性黄疸者也仅1例阳性(11个国际单位),35例传染性肝炎中阳性的有2例(<10个国际单位),其余均未发现有己糖激酶。而13例胰头癌患者中有11例增高(31.6±3.8个国际
The authors examined sera from 113 patients with infectious hepatitis (35 cases), acute cholecystitis (23 cases), cholelithiasis complicated with obstructive jaundice (18 cases), pancreatic head cancer (13 cases) and metastatic liver cancer (24 cases) Trypsin and hexokinase activity, and 15 healthy people as the control group. Acute cholecystitis serum pancreatic peptidase activity was significantly higher. Cholelithiasis complicated by obstructive jaundice increased more significantly, the longer the jaundice, the higher the activity of the pancreatic peptidase. Pancreatic cancer caused by pancreatic head cancer is quite high when the activity of pancreatic peptic peptide, and infectious hepatitis caused by jaundice serum trypsin activity was lower than the control group. Therefore, the determination of serum pancreatic peptic obstruction of jaundice and hepatocellular jaundice have some significance. Healthy human serum hexokinase, as more than 5 international units were positive. Only 1 out of 23 cases of acute cholecystitis was positive (9 international units), and only 18 cases were diagnosed as cholelithiasis complicated with obstructive jaundice (11 international units). Of the 35 cases of infectious hepatitis, 2 were positive (<10 international units), and the rest were not found hexokinase. Eleven of the 13 patients with pancreatic head cancer were elevated (31.6 ± 3.8 international)