急性胰腺炎时血清脂肪酶（） -题库考试答案搜索网

急性胰腺炎时血清脂肪酶（）

单选题

2021-12-28 02:45

A、起病后6～12小时升高，48小时下降，持续3～5天
B、起病后12～14小时升高，下降缓慢，持续1～2周
C、起病后24～72小时上升，持续7～10天
D、降低程度与临床症状平行
E、起病后3～4小时上升，12小时高峰，24小时下降

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试题解析

急性胰腺炎时实验室检查结果可发现：多有白细胞增多及中性粒细胞核左移。血清淀粉酶在起病后6～12小时升高，48小时下降，持续3～5天，超过正常值3倍可确诊，其高低不一定反映病情轻重。尿淀粉酶在起病后12～14小时升高，下降缓慢，持续1～2周，但受尿量的影响。血清脂肪酶起病后24～72小时上升，持续7～10天，对病后就诊较晚的急性胰腺炎有诊断价值，其特异性较高。暂时性低钙血症常见于重症急性胰腺炎，低血钙程度与临床严重程度平行。

标签：消化内科血液病主治医师传染病学相关专业知识

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