79例小儿急腹症的腹腔引流液和血尿淀粉酶水平分析
发布时间：2018-11-10 16:08
【摘要】：目的：通过分析急腹症小儿的腹腔引流液及血尿淀粉酶水平来得出急腹症中血尿淀粉酶的变化规律。 方法：选取从2010年3月至2011年10月以腹痛待查收入山西医科大学第一附属医院儿外科的患儿，，在患儿入院的首日和第二日即检查血尿淀粉酶水平，以后隔日复查。对于手术处理的患儿，手术后次日和再次日复查血尿淀粉酶水平，以后隔日复查。 结果： 1.在79名患儿中，肠梗阻组和阑尾炎患儿组的血淀粉酶水平明显高于其他疾病患儿组（P0.05）,但都明显低于急性胰腺炎的患儿。 2.尿淀粉酶水平在急腹症各个疾病的患儿组之间没有统计学差异。 3.肠梗阻和阑尾炎组患儿的血淀粉酶峰值出现在入院的48小时前后，治疗后下降很快，经历3天恢复正常值。 结论： 1.在急腹症小儿群体中，肠梗阻和阑尾炎的患儿会出现淀粉酶水平的增高，但是只有肠梗阻患儿的增高具有临床意义，这个值小于急性胰腺炎的诊断标准。 2.尿淀粉酶水平在非胰腺炎的患儿中没有明显的意义。
[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.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R726.5
[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.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R726.5
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