— 生理適應 · EASY · MCQ —
病人因急性胰臟炎入院。護理師在急性期應預期哪項實驗室數值異常？
A client is admitted with a diagnosis of acute pancreatitis. Which laboratory finding would the nurse expect to find during the acute phase?
- ADecreased white blood cell count白血球計數減少
- BElevated serum calcium血清鈣升高
- CElevated serum amylase✓ 正解血清澱粉酶升高
- DDecreased serum lipase血清脂肪酶減少
— Explanation · 中文詳解 —
急性胰臟炎因胰酵素溢出，導致血液中澱粉酶（Amylase）與脂肪酶（Lipase）顯著升高。澱粉酶通常在發病 2-12 小時內上升。A選項應為升高（發炎反應）；B選項通常因脂肪皂化導致低血鈣，而非升高；D選項則應升高而非下降。
In acute pancreatitis, pancreatic enzymes leak out, leading to significantly elevated serum amylase and lipase. Amylase usually rises within 2-12 hours of onset. Option A should be elevated (inflammatory response); option B usually shows hypocalcemia from fat saponification, not elevation; option D should also be elevated rather than decreased.
✦ 台美臨床差異
台美對胰臟炎檢驗項目依賴性相同，但台灣健保給付規定對特定實驗室重複檢測有更嚴格的審查規範。