血淀粉酶升高合并急性上腹痛的病因学分析

陈涛;胡睿东;闫洪涛;石力;崔健峰;邹洪

【期刊名称】《解放军医药杂志》

【年(卷),期】2014(000)007

【摘要】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.%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