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高淀粉酶血症病因及基层处置概述

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血清淀粉酶升高在临床上较为常见,其多用于急性胰腺炎(AP)的诊断和评估。但随着淀粉酶相关研究的逐渐深入,发现引起高淀粉酶血症的病因多样且复杂,涉及临床各科室。基层医疗机构在面对淀粉酶升高患者时,由于担心胰腺炎进展加重或误诊,会考虑及时转诊。全科医生应了解血清淀粉酶升高的各种原因,做到早期判断、积极干预、分辨轻重、按需转诊,避免造成医疗挤兑和资源浪费。本文将对高淀粉酶血症的病因和基层处置作简要综述。
Overview of etiology and primary treatment of hyperamylasemia
Elevated serum amylase is more common in clinical practice,which is mostly used for the diagnosis and evaluation of acute pancreatitis(AP).However,with the deepening of amylase related research,it has been found that the causes of hyperamylasemia are diverse and complex,involving various clinical departments.In the face of patients with elevated amylase,primary medical institutions will consider timely referral due to concerns about the aggravation of pancreatitis or misdiagnosis.General practitioners should understand the various causes of elevated serum amylase,so as to make early judgment,active intervention,distinguish the severity,and on-demand referral,so as to avoid medical runs and waste of resources.This article will briefly review the etiology and primary treatment of hyperamylasemia.

hyperamylasemiaacute pancreatitisgeneral practitioner

邱玮、姚娅

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上海市徐汇区康健街道社区卫生服务中心全科,上海,200233

屏边苗族自治县人民医院心血管内分泌科,云南 红河,661299

高淀粉酶血症 急性胰腺炎 全科医生

上海市徐汇区医学科研项目

SHXH202033

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(9)
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