血淀粉酶增高就一定是急性胰腺炎吗 徐俊荣 西安市第三医院

血淀粉酶增高就一定是急性胰腺炎吗 徐俊荣 西安市第三医院
并不是这样子的，诊断急性腺炎主要有三条标准，三条符合两条就可以诊断。第一个是剧烈的腹痛，第二个是淀粉酶升高，超过正常的三倍以上。第三点就是，做B超或者ct这种影像学检查发现炎症。并不是说淀粉酶升高，就一定是急性胰腺炎。因为胰腺周围的一些脏器，它出现问题的时候，也会引起淀粉酶的轻度升高。另外还有一类的疾病，它叫高淀粉酶血症，就是仅仅淀粉酶升高，胰腺并没有发炎，所以淀粉酶升高不等于就是胰腺炎。

Is the increase of serum amylase necessarily acute pancreatitis
This is not the case, There are three main criteria for the diagnosis of acute adenitis, Three in line with two can be diagnosed. The first is severe abdominal pain, The second is the rise of amylase, More than three times normal. The third point is, B-ultrasonography or CT scan were used to detect inflammation. It's not that amylase is up, It must be acute pancreatitis. Because of the organs around the pancreas, When it goes wrong, It can also cause a slight increase in amylase. There is another kind of disease, It's called hyperamylasemia, It's just a rise in amylase, The pancreas is not inflamed, So the rise of amylase is not equal to pancreatitis.