— 生理適應 · EASY · MCQ —
一位急性胰臟炎病患主訴嚴重腹痛。護理師預期會看見哪項檢驗數據異常？
A client with acute pancreatitis presents with severe abdominal pain. Which laboratory finding would the nurse expect to see?
- AElevated serum calcium血清鈣升高
- BDecreased serum glucose血清葡萄糖降低
- CDecreased white blood cell count白血球計數降低
- DElevated serum lipase✓ 正解血清脂肪酶升高
— Explanation · 中文詳解 —
急性胰臟炎的核心診斷指標為胰臟酵素釋出，其中血清脂肪酶（Lipase）較澱粉酶（Amylase）更具特異性且持續時間較長，是臨床診斷的首選指標。胰臟受損會影響代謝，通常導致血糖上升而非下降，白血球則會隨發炎反應而上升。
The hallmark diagnostic marker of acute pancreatitis is the release of pancreatic enzymes. Among these, serum lipase is more specific than amylase and remains elevated longer, making it the preferred clinical indicator. Pancreatic damage typically causes blood glucose to rise rather than fall, while white blood cell count increases due to the inflammatory response.
✦ 台美臨床差異
台美對胰臟炎檢驗項目一致，但美國護理師常需更主動依據檢驗值評估疼痛管理需求。