護理師監測急性胰臟炎病人。哪項檢驗結果顯示病情正在改善？
A nurse is monitoring a client with acute pancreatitis. Which laboratory result indicates that the condition is improving?
- AIncreased white blood cell count白血球計數增加
- BIncreased serum glucose level血清葡萄糖水平增加
- CDecreased serum amylase level✓ 正解血清澱粉酶水平降低
- DDecreased serum calcium level血清鈣水平降低
急性胰臟炎（Acute Pancreatitis）的核心病理是胰臟酵素過早活化，導致胰臟組織自體消化與發炎。澱粉酶（Amylase）與脂肪酶（Lipase）會因胰臟細胞受損而大量溢出至血液中。當胰臟發炎消退，胰臟細胞功能恢復，血清澱粉酶水平會逐漸回降至正常範圍，這是評估病情改善的最直接生化指標。臨床上，護理師需監測病人的腹痛緩解程度、生命徵象穩定性以及澱粉酶數值，以判斷治療效果。
The core pathology of acute pancreatitis is premature activation of pancreatic enzymes, causing autodigestion and inflammation of pancreatic tissue. Because pancreatic cells are damaged, amylase and lipase are released in large amounts into the blood. As the pancreatic inflammation subsides and pancreatic cell function recovers, the serum amylase level gradually returns toward the normal range, which is the most direct biochemical indicator of clinical improvement. Clinically, the nurse should monitor relief of abdominal pain, stability of vital signs, and amylase levels to evaluate treatment effectiveness.