| 摘要: |
| 血淀粉酶升高是临床常见的问题，可由多种病因引起。血清淀粉酶高于正常值上限的3倍，且无明显上腹部疼痛等临床症状，即可诊断为高淀粉酶血症。高淀粉酶血症可见于多种疾病，同工酶分析可提高诊断的特异性，具有较高诊断价值。临床上，应对高淀粉酶血症患者有针对性地开展适当的检查以尽早明确诊断，对症治疗。 |
| 关键词: 高淀粉酶血症 唾液腺型淀粉酶 胰腺型淀粉酶 胰腺炎 |
| DOI：10.16781/j.0258-879x.2019.04.0426 |
| 投稿时间：2018-08-07修订日期：2018-11-22 |
| 基金项目:国家自然科学基金（81770635，81470883，81770632，81600439，81500490），上海青年医师培养资助计划（AB83030002015034），上海市青年科技启明星计划（17QA1405500），上海市青年拔尖人才开发计划（HZW2016FZ67）. |
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| Clinical significance of hyperamylasemia |
| HAO Lu,HU Liang-hao,LI Zhao-shen* |
(Department of Gastroenterology, Changhai Hospital, Naval Medical University(Second Military Medical University), Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| Elevated serum amylase is a common clinical syndrome which can be caused by a variety of causes. Hyperamylasemia is diagnosed as elevation of serum amylase level 3 or more times of upper limit of the normal value, and there are no obvious clinical symptoms such as upper abdominal pain. Hyperamylasemia can occur in a variety of diseases. Isozyme analysis can improve the specificity of diagnosis and has high diagnostic value. Clinically, the patients with hyperamylasemia shall be examined properly to make a definite diagnosis and symptomatic treatment as soon as possible. |
| Key words: hyperamylasemia salivary-type amylase pancreatic-type amylase pancreatitis |
