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[儿童胰腺定量功能诊断中胰腺酶测定的问题]

[Problems in the determination of pancreatic enzymes for the quantitative functional diagnosis of the pancreas in children].

作者信息

Senger H, Beyreiss K, Scheerschmidt G, Dettmer D, Müller F

出版信息

Dtsch Z Verdau Stoffwechselkr. 1981;41(2):70-82.

PMID:6165543
Abstract

Pancreozymin-secretin tests were carried out in children aged from 0,5 till 12 years by means of a two lumen tube of the Salem-Sump-type and a three lumen perfusion tube. For stimulation we used 2 U/kg of the hormones, each from BOOTs-Corp. Amylase was determined with dinitrosalicylic acid, lipase by titration of acidic equivalents after half hour incubation and trypsin and chymotrypsin with TAME and BTEE respectively. We used PEG 4000 as marker and quantified enzymes secretion as well as liquid secretion by it. We got up to 50% lower results by testing with the two lumen tube. If we are laying the perfusion tube we measured an elevation of the two lumen tube. If we are laying the perfusion tube we measured an elevation of the II-hydroxycorticoides. The concentration of the enzymes in the specimines before perfusion on 3 consecutive days fell by 90% on the average. We discussed some problems of the determination of enzymes and performing of the tests by means of the results.

摘要

采用塞勒姆-森普型双腔管和三腔灌注管,对0.5至12岁的儿童进行促胰液素-促胰液素试验。为进行刺激,我们使用了来自博姿公司的每千克2单位的激素。淀粉酶用二硝基水杨酸法测定,脂肪酶在孵育半小时后通过滴定酸性当量来测定,胰蛋白酶和糜蛋白酶分别用对甲苯磺酰-L-精氨酸甲酯和N-苯甲酰-L-酪氨酸乙酯测定。我们使用聚乙二醇4000作为标志物,并通过它来量化酶分泌以及液体分泌。使用双腔管进行测试时,我们得到的结果低了50%。放置灌注管时,我们测量到双腔管有所升高。放置灌注管时,我们测量到11-羟基皮质类固醇有所升高。连续3天灌注前样本中酶的浓度平均下降了90%。我们根据结果讨论了酶测定和试验操作中的一些问题。

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