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血淀粉酶过高与急性肠系膜梗塞的关系目前尚未阐明。在一组35例肠系膜动脉梗塞的报告中血淀粉酶值超过正常一倍者仅2例(6%)。1977~1984年有4例严重腹痛和血淀粉酶超过1200单位/升的病例,误诊为急性胰腺炎并采用保守疗法。死后尸检发现肠系膜梗塞是主要病变。作者所在医院从1971年起对急性胰腺炎作前瞻性研究。对因腹痛住院的大部分病例作血淀粉酶测定。本文对1973~1984年间收治的急性肠系膜梗塞病例作回顾性研究。作者回顾了122例急性肠系膜梗塞病例。在人院
The relationship between serum amylase and acute mesenteric infarction has not yet been elucidated. In a series of 35 cases of mesenteric artery infarction reported in the blood amylase more than double the normal rate in only 2 cases (6%). From 1977 to 1984, four cases of severe abdominal pain and blood amylase exceeding 1200 units / liter were misdiagnosed as acute pancreatitis and treated conservatively. Postmortem examination found that mesenteric infarction is the main lesion. The author’s hospital from 1971 on the prospective study of acute pancreatitis. For the majority of cases of abdominal pain due to blood amylase assay. This article from 1973 to 1984 admitted to the acute mesenteric infarction cases for retrospective study. The authors reviewed 122 cases of acute mesenteric infarction. In the hospital