— 生理適應 · MEDIUM · MCQ —
一位病人因疑似急性胰臟炎入院，下列哪項血液檢驗結果支持此診斷？
A client is admitted with suspected acute pancreatitis. Which serum laboratory finding supports this diagnosis?
- ADecreased serum lipase血清解脂酶降低
- BElevated serum amylase✓ 正解血清澱粉酶升高
- CDecreased white blood cell count白血球計數降低
- DElevated serum bilirubin血清膽紅素升高
— Explanation · 中文詳解 —
急性胰臟炎診斷依據為澱粉酶（Amylase）與解脂酶（Lipase）顯著升高。澱粉酶升高是發炎的敏感指標，解脂酶則更具特異性。其餘選項，胰臟炎通常合併發炎反應導致白血球升高，黃疸則視有無膽道阻塞而定，並非診斷胰臟炎的核心指標。
Acute pancreatitis is diagnosed by markedly elevated serum amylase and lipase. Amylase rises rapidly with pancreatic injury and is a sensitive marker; lipase is more specific. Pancreatitis typically causes leukocytosis (not leukopenia); bilirubin may rise only if there is biliary obstruction and is not a primary pancreatic marker.
✦ 台美臨床差異
台灣臨床多合併腹部超音波檢查；美國因肥胖比例高，常直接進行腹部 CT 以評估胰臟壞死程度。