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[尿淀粉酶在急性胆源性胰腺炎中的诊断及预后意义]

[Diagnostic and prognostic significance of urinary amylase in acute biliary pancreatitis].

作者信息

Andriushchenko V P, Lysiuk Iu S, Barvins'ka A S

出版信息

Klin Khir. 1998(3):17-8.

PMID:9670716
Abstract

The diagnostic significance of amylasuria in the early period of an acute biliary pancreatitis (ABP) course was estimated in 70 patients. High sensitivity of the test during 3 days of the disease course was ascertained as well as a lack of specificity of the criterion concerning differential diagnosis with an acute cholecystitis. The interrelationship between the enzyme activity and lethality was not revealed. It is necessary to take into account the peculiarities of the amylasuria diagnostic-prognostical significance while substantiation of diagnostic program and the treatment tactics for ABP.

摘要

对70例急性胆源性胰腺炎(ABP)病程早期的尿淀粉酶情况进行了诊断意义评估。确定了该检测在病程3天内具有高敏感性,同时发现该指标在与急性胆囊炎进行鉴别诊断时缺乏特异性。未发现酶活性与致死率之间的相互关系。在制定ABP的诊断方案和治疗策略时,有必要考虑尿淀粉酶诊断预后意义的特殊性。

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