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肾脏和胰腺外分泌疾患间有多方面的关系。本文就以下方面进行复习:1.肾衰对胰酶的影响;2.肾衰和胰腺炎;3.急性胰腺炎的肾脏表现;4.同时累及肾脏和胰腺的疾病。肾衰对胰酶的影响脂肪酶慢性肾衰患者血清脂肪酶常升高,Sommer等观察的一组病例表明,46%患者的血清脂肪酶活性升高,其发生率与肾功能不全及氮质血症的程度有关,而且在肾小球滤过率低于20ml/min的患者中,慢性肾小球肾炎高脂肪酶血症的发生率高于肾盂肾炎。对慢性肾衰者尸体解剖中发现其胰管扩张、上皮变平、
There are many relationships between the kidney and pancreatic exocrine disorders. This article reviews the following aspects: 1. Renal failure of pancreatic enzymes; 2. Renal failure and pancreatitis; 3. Renal manifestations of acute pancreatitis; 4. Diseases involving both the kidney and pancreas. Renal failure of pancreatic enzymes in patients with lipase chronic renal failure often elevated serum lipase, Sommer observed a group of patients showed that 46% of patients with elevated serum lipase activity, the incidence of renal insufficiency and nitrogen Hyperlipidemia, and the incidence of hyperlipemia in chronic glomerulonephritis is higher in patients with glomerular filtration rate less than 20ml / min than in pyelonephritis. On the autopsy of chronic renal failure found in its pancreatic duct dilatation, epithelial flattening,