一位急性胰臟炎病人呈現嚴重腹痛,護理師預期哪項實驗室數值會升高?
A client with acute pancreatitis presents with severe abdominal pain. Which laboratory finding should the nurse expect to be elevated?
- ASerum amylase✓ 正解血清澱粉酶
- BSerum albumin血清白蛋白
- CSerum glucose血清葡萄糖
- DSerum calcium血清鈣
急性胰臟炎(Acute pancreatitis)的核心病理機轉是胰臟酵素過早活化,導致胰臟組織自體消化(Autodigestion)。當胰臟細胞受損時,大量的澱粉酶(Amylase)與脂肪酶(Lipase)會釋放到血液中,使血清數值顯著升高。澱粉酶在發病初期上升速度快,是診斷急性胰臟炎的關鍵生化指標之一,護理師應預期此項檢查結果異常。
The core pathophysiologic mechanism of acute pancreatitis is premature activation of pancreatic enzymes, leading to autodigestion of pancreatic tissue. When pancreatic cells are injured, large amounts of amylase and lipase are released into the blood, causing significant elevations in serum levels. Amylase rises quickly in the early phase of the disease and is one of the key biochemical markers for diagnosing acute pancreatitis; the nurse should anticipate abnormal results for this test.