Wilson C, Imrie C W
Br J Surg. 1986 Mar;73(3):219-21. doi: 10.1002/bjs.1800730322.
Serum amylase has been determined on admission in 63 (52 per cent) of 122 patients with acute mesenteric infarction. Amylase levels were normal in 34 (54 per cent) and reached greater than twice normal in 15 patients (24 per cent). In 5 patients (3 on admission) amylase levels were in the diagnostic range of acute pancreatitis (greater than 1200 units/l) leading to inappropriate non-operative treatment in 4. Hyperamylasaemia was found in association with all aetiologies of infarction. The magnitude of the hyperamylasaemia appeared to be related to the extent of the bowel infarction, the highest levels occurring when infarction involved the small bowel and colon. The mechanism of hyperamylasaemia in acute mesenteric infarction is discussed.
对122例急性肠系膜梗死患者中的63例（52%）在入院时测定了血清淀粉酶。34例（54%）患者的淀粉酶水平正常，15例（24%）患者的淀粉酶水平超过正常上限的两倍。5例患者（3例在入院时）的淀粉酶水平处于急性胰腺炎的诊断范围内（大于1200单位/升），导致4例接受了不恰当的非手术治疗。高淀粉酶血症与所有梗死病因均相关。高淀粉酶血症的严重程度似乎与肠梗死范围有关，当梗死累及小肠和结肠时，淀粉酶水平最高。本文讨论了急性肠系膜梗死中高淀粉酶血症的机制。
