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  • 郝璐,胡良皞,李兆申*.高淀粉酶血症的临床意义[J].第二军医大学学报,2019,40(4):426-429    [点击复制]
  • HAO Lu,HU Liang-hao,LI Zhao-shen*.Clinical significance of hyperamylasemia[J].Acad J Sec Mil Med Univ,2019,40(4):426-429   [点击复制]
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高淀粉酶血症的临床意义
郝璐,胡良皞,李兆申*
0
(海军军医大学(第二军医大学)长海医院消化内科, 上海 200433
*通信作者)
摘要:
血淀粉酶升高是临床常见的问题,可由多种病因引起。血清淀粉酶高于正常值上限的3倍,且无明显上腹部疼痛等临床症状,即可诊断为高淀粉酶血症。高淀粉酶血症可见于多种疾病,同工酶分析可提高诊断的特异性,具有较高诊断价值。临床上,应对高淀粉酶血症患者有针对性地开展适当的检查以尽早明确诊断,对症治疗。
关键词:  高淀粉酶血症  唾液腺型淀粉酶  胰腺型淀粉酶  胰腺炎
DOI:10.16781/j.0258-879x.2019.04.0426
投稿时间:2018-08-07修订日期:2018-11-22
基金项目:国家自然科学基金(81770635,81470883,81770632,81600439,81500490),上海青年医师培养资助计划(AB83030002015034),上海市青年科技启明星计划(17QA1405500),上海市青年拔尖人才开发计划(HZW2016FZ67).
Clinical significance of hyperamylasemia
HAO Lu,HU Liang-hao,LI Zhao-shen*
(Department of Gastroenterology, Changhai Hospital, Naval Medical University(Second Military Medical University), Shanghai 200433, China
*Corresponding author)
Abstract:
Elevated serum amylase is a common clinical syndrome which can be caused by a variety of causes. Hyperamylasemia is diagnosed as elevation of serum amylase level 3 or more times of upper limit of the normal value, and there are no obvious clinical symptoms such as upper abdominal pain. Hyperamylasemia can occur in a variety of diseases. Isozyme analysis can improve the specificity of diagnosis and has high diagnostic value. Clinically, the patients with hyperamylasemia shall be examined properly to make a definite diagnosis and symptomatic treatment as soon as possible.
Key words:  hyperamylasemia  salivary-type amylase  pancreatic-type amylase  pancreatitis