Scholhamer C F, Spiro H M
J Clin Gastroenterol. 1979 Dec;1(4):325-9. doi: 10.1097/00004836-197912000-00009.
Acute pancreatitis of biliary tract origin and that of alcoholic origin may be difficult to separate on clinical grounds alone. Such separation is important since operation prevents recurrent attacks in gallstone pancreatitis. We examined the records of 78 patients in the first attack of pancreatitis from gallstones or alcohol. The gallstone group were usually women, older, and had a shorter period of abdominal pain. Pancreatic complications occurred more frequently in the alcoholic group and led to two deaths. Amylase values were diagnostically helpful in that a level greater than 1000 units in patients of the proper age and sex, and a level greater than 2000 units by itself indicated gallstone pancreatitis.
仅基于临床依据，很难区分胆源性急性胰腺炎和酒精性急性胰腺炎。这种区分很重要，因为手术可预防胆石性胰腺炎的复发。我们检查了78例首次因胆结石或酒精引发胰腺炎患者的病历。胆结石组患者通常为女性，年龄较大，腹痛持续时间较短。酒精性胰腺炎组的胰腺并发症更为常见，并有两例死亡。淀粉酶值对诊断有帮助，在适当年龄和性别的患者中，淀粉酶水平大于1000单位，以及单独一项大于2000单位，均提示为胆石性胰腺炎。
