淀粉酶和脂肪酶在急性胰腺炎急诊科评估中的应用

Amylase and lipase in the emergency department evaluation of acute pancreatitis.

作者信息

Vissers R J, Abu-Laban R B, McHugh D F

机构信息

Department of Emergency Medicine, University of North Carolina Hospitals, Chapel Hill 27599-7594, USA.

出版信息

J Emerg Med. 1999 Nov-Dec;17(6):1027-37. doi: 10.1016/s0736-4679(99)00136-5.

DOI:10.1016/s0736-4679(99)00136-5

PMID:10595892

Abstract

Serum amylase and lipase levels are commonly obtained in the emergency department for the diagnosis of acute pancreatitis. The role of these enzymes has frequently been the subject of confusion and controversy. This article comprehensively reviews the history, biochemistry, clinical, and laboratory literature on both enzymes as used in the evaluation of pancreatitis. Specific guidelines are presented to assist the Emergency Physician in the appropriate use and interpretation of these clinical laboratory tests.

摘要

血清淀粉酶和脂肪酶水平通常在急诊科用于诊断急性胰腺炎。这些酶的作用一直是困惑和争议的焦点。本文全面回顾了在胰腺炎评估中使用的这两种酶的历史、生物化学、临床和实验室文献。提出了具体指南，以帮助急诊医生正确使用和解读这些临床实验室检查。