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中华重症医学电子杂志 ›› 2017, Vol. 03 ›› Issue (02) : 138 -142. doi: 10.3877/cma.j.issn.2096-1537.2017.02.012

所属专题: 重症医学 文献

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重症患者伴高淀粉酶和/或高脂肪酶血症:急性胰腺炎?
黄东亚1, 苗毅1, 蒋奎荣1, 李强1,()   
  1. 1. 21002 南京医科大学第一附属医院胰腺中心
  • 收稿日期:2016-10-24 出版日期:2017-05-28
  • 通信作者: 李强

Hyperamylasemia and/or hyperlipasemia in ICU: acute pancreatitis?

Dongya Huang1, Yi Miao1, Kuirong Jiang1, Qiang Li1,()   

  1. 1. Department of Pancreas Center, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
  • Received:2016-10-24 Published:2017-05-28
  • Corresponding author: Qiang Li
  • About author:
    Corresponding author: Li Qiang, Email:
引用本文:

黄东亚, 苗毅, 蒋奎荣, 李强. 重症患者伴高淀粉酶和/或高脂肪酶血症:急性胰腺炎?[J]. 中华重症医学电子杂志, 2017, 03(02): 138-142.

Dongya Huang, Yi Miao, Kuirong Jiang, Qiang Li. Hyperamylasemia and/or hyperlipasemia in ICU: acute pancreatitis?[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2017, 03(02): 138-142.

重症患者常出现高胰酶血症(高淀粉酶和/或高脂肪酶血症)。除急性胰腺炎(acute pancreatitis,AP)外,ICU病房内许多非胰腺疾病也伴有胰酶升高。一方面,血淀粉酶和血脂肪酶升高对AP诊断特异度的不足可引起误诊。另一方面,由于重症患者的合并症较多,病情较重,及时识别AP较为困难。对ICU内高胰酶血症的准确理解,及时的识别AP尤为重要。

Hyperamylasemia and hyperlipasemia are frequently encountered in critically ill patients. Elevation in serum levels of pancreatic enzymes (hyperamylasemia and/or hyperlipasemia) can occur in any Intensive Care Unit (ICU) patient either as a result of true acute pancreatitis (AP) or as a manifestation of a nonpancreatic disease. On the one hand, AP can be misdiagnosed because neither amylase nor lipase is specific for pancreatitis. On the other hand, it is often not possible to discriminate true pancreatitis from complex and severe patients. It is essential to understand different non-pancreatic conditions where there is elevation of pancreatic enzymes and to identify true AP in critically ill patients without typical clinical features.

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