目的 分析腹痛患者血淀粉酶轻度升高的常见病因.方法 收集我院2006年1月～2014年6月腹痛患者228例,所有病例均表现为入院时腹痛,24～48 h测血淀粉酶轻度升高,回顾性分析其病因.结果 引起血淀粉酶轻度升高的常见病因有急性胰腺炎、急性胆囊炎、胆结石、胃肠穿孔、腹膜炎、肠梗阻、胰腺癌、急性阑尾炎等.结论 血淀粉酶轻度升高常见于腹痛患者,针对这类患者需动态观测淀粉酶变化,在排除胰腺炎后,应开拓诊断思路,考虑其他疾病可能,及早明确诊断.%Objective Analysis the clinical etiology of stomachache combine with blood amylase slight rise.Methods Selected 228 cases patients with stomachache from January 2006 to June 2014 in our hospital, all of them were abdominal pain with mildly elevated serum amylase in 24 to 48 hours, retrospective analysis the pathogenesis.Results The causes included acute pancreatitis, acute cholecystitis, gallstones, gastrointestinal perforation, peritonitis, intestinal obstruction,pancreatic cancer, acute appendicitis and others.Conclusion Mildly elevated serum amylase in patients with abdominal pain is common for these patients need to observe the change of the amylase, after exclusion of pancreatitis, clinicians should explore ideas,consider the possibility of other diseases for early diagnosis.
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