【摘要】：目的：通過分析急腹癥小兒的腹腔引流液及血尿淀粉酶水平來得出急腹癥中血尿淀粉酶的變化規(guī)律。 方法：選取從2010年3月至2011年10月以腹痛待查收入山西醫(yī)科大學(xué)第一附屬醫(yī)院兒外科的患兒，，在患兒入院的首日和第二日即檢查血尿淀粉酶水平，以后隔日復(fù)查。對于手術(shù)處理的患兒，手術(shù)后次日和再次日復(fù)查血尿淀粉酶水平，以后隔日復(fù)查。 結(jié)果： 1.在79名患兒中，腸梗阻組和闌尾炎患兒組的血淀粉酶水平明顯高于其他疾病患兒組（P0.05）,但都明顯低于急性胰腺炎的患兒。 2.尿淀粉酶水平在急腹癥各個(gè)疾病的患兒組之間沒有統(tǒng)計(jì)學(xué)差異。 3.腸梗阻和闌尾炎組患兒的血淀粉酶峰值出現(xiàn)在入院的48小時(shí)前后，治療后下降很快，經(jīng)歷3天恢復(fù)正常值。 結(jié)論： 1.在急腹癥小兒群體中，腸梗阻和闌尾炎的患兒會出現(xiàn)淀粉酶水平的增高，但是只有腸梗阻患兒的增高具有臨床意義，這個(gè)值小于急性胰腺炎的診斷標(biāo)準(zhǔn)。 2.尿淀粉酶水平在非胰腺炎的患兒中沒有明顯的意義。
[Abstract]:Objective: to study the changes of serum amylase in acute abdomen by analyzing abdominal drainage fluid and serum amylase level in children with acute abdomen. Methods: from March 2010 to October 2011, children with abdominal pain were selected to be admitted to the first affiliated Hospital of Shanxi Medical University. The serum and urine amylase levels were examined on the first and second day of admission, and then re-examined every other day. The serum amylase levels were reexamined the next day and the second day after the operation for the children who were treated surgically. Results: 1. The levels of serum amylase in intestinal obstruction group and appendicitis group were significantly higher than those in other diseases group (P0.05), but were significantly lower than those in acute pancreatitis group (P0.05). 2. There was no significant difference in urine amylase levels among children with acute abdominal diseases. 3. The peak value of serum amylase in the patients with intestinal obstruction and appendicitis appeared before and after 48 hours of admission and decreased rapidly after treatment and recovered to normal value after 3 days. Conclusion: 1. In children with acute abdomen, the level of amylase increases in children with intestinal obstruction and appendicitis, but only in children with intestinal obstruction has clinical significance, this value is less than the diagnostic criteria of acute pancreatitis. 2. Urinary amylase levels were not significant in children with non-pancreatitis.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R726.5

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