Frontini L, Panzera M, Pravettoni A, Rona P
Chir Ital. 1980 Aug;32(4):876-83.
The Authors refer on the presence of hyperamylasemia in 46 patients subjected to surgery of the bile ducts. A rise in serum amylase values was found in 22,42 of the cases. In one case only, hyperamylasemia was accompanied by a clinical picture of acute pancreatitis. In the rest of the patients the increase of the amylasemid has not modified the postoperative course and its completely normalization. The negativity of the clinical picture appears to indicate that the hyperamylasemia is to be considered as an aspecific and only partly pancreatic response to a injuries over very delicate anatomical structures.
作者提到46例接受胆管手术的患者存在高淀粉酶血症。在22例（占42%）病例中发现血清淀粉酶值升高。仅1例高淀粉酶血症伴有急性胰腺炎的临床表现。在其余患者中，淀粉酶升高并未改变术后病程，且淀粉酶完全恢复正常。临床表现为阴性似乎表明，高淀粉酶血症应被视为对非常精细解剖结构损伤的一种非特异性且仅部分为胰腺的反应。
