— 生理適應 · MEDIUM · MCQ —
護理師照護一位急性胰臟炎病人，下列哪項血清實驗室數值是此病況最特異性的指標？
A nurse is caring for a client with acute pancreatitis. Which serum laboratory finding is the most specific indicator for this condition?
- AElevated serum lipase✓ 正解血清脂肪酶升高
- BElevated serum bilirubin血清膽紅素升高
- CElevated serum glucose血清葡萄糖升高
- DElevated white blood cell count白血球計數升高
— Explanation · 中文詳解 —
急性胰臟炎的診斷指標中，血清脂肪酶（Lipase）較澱粉酶（Amylase）更具特異性，且在血中上升時間較長。白血球升高與高血糖常見於發炎，但並非胰臟炎特有；膽紅素升高可能與膽道阻塞相關，非胰臟組織損傷的直接標誌。
Among the diagnostic indicators for acute pancreatitis, serum lipase is more specific than amylase and remains elevated in the blood for a longer period. Leukocytosis and hyperglycemia are common in inflammation but are not specific to pancreatitis; elevated bilirubin may be associated with biliary obstruction and is not a direct marker of pancreatic tissue injury.
✦ 台美臨床差異
美國與台灣對於診斷急性胰臟炎皆高度依賴脂肪酶。台灣健保申報時脂肪酶常作為常規檢驗項目。