Chizzola P R, Mansur A J, Pascual J M, Auler Júnior J O
Arq Bras Cardiol. 1989 Mar;52(3):133-6.
Serum amylase was studied in twenty seven patients submitted to cardiac operation. The ages ranged between 16 and 74 (mean 55) years; twenty one (78) were male and six (22%) female. Myocardial revascularization was carried on in 17 patients, mitral valve replacement in four patients, aortic valve replacement in two patients, plastic surgery of the aortic valve in two patients, plastic surgery of the mitral valve in one patient. Blalock Taussig anastomosis was carried on in one patient. The serum amylase was determined in samples obtained before operations, 24 hours and 48 hours postoperatively. Seven (26%) patients showed postoperative elevation of seric amylase in the absence of clinical signs of pancreatitis. Thus, postoperative elevation of seric amylase after cardiac surgery may occur in the absence of pancreatitis and may be due to other factors associated with the patient, with the operative procedure, with drugs used and with surgical complications.
对27例接受心脏手术的患者进行了血清淀粉酶研究。患者年龄在16至74岁之间（平均55岁）；21例（78%）为男性，6例（22%）为女性。17例患者进行了心肌血运重建，4例患者进行了二尖瓣置换，2例患者进行了主动脉瓣置换，2例患者进行了主动脉瓣整形手术，1例患者进行了二尖瓣整形手术。1例患者进行了锁骨下动脉-肺动脉吻合术。在术前、术后24小时和48小时采集的样本中测定血清淀粉酶。7例（26%）患者在无胰腺炎临床体征的情况下出现术后血清淀粉酶升高。因此，心脏手术后血清淀粉酶的术后升高可能在无胰腺炎的情况下发生，可能与患者、手术操作、所用药物和手术并发症等其他因素有关。
