— 生理適應 · MEDIUM · MCQ —
一位急性胰臟炎病人禁食並接受靜脈輸液。何項實驗室數值顯示胰臟炎可能正在緩解？
A client with acute pancreatitis is NPO and receiving IV fluids. Which laboratory value indicates that the pancreatitis may be resolving?
- AIncreased serum lipase血清脂肪酶增加
- BElevated bilirubin膽紅素升高
- CDecreased serum amylase✓ 正解血清澱粉酶減少
- DElevated white blood cell count白血球計數升高
— Explanation · 中文詳解 —
血清澱粉酶（serum amylase）和脂肪酶（serum lipase）是診斷急性胰臟炎的指標。隨著胰臟發炎緩解，這兩項數值會逐漸下降。澱粉酶下降是趨於緩解的較早指標。WBC 和膽紅素升高通常表示發炎或膽道阻塞持續。
Decreasing serum amylase levels indicate that pancreatic inflammation is resolving, as amylase rises early in acute pancreatitis and falls as the condition improves. While lipase also decreases, amylase is often the earlier marker of resolution, whereas persistent elevation in bilirubin or WBC count suggests ongoing issues like obstruction or infection.
✦ 台美臨床差異
美國在追蹤胰臟炎恢復情況時，常會結合多種生化指標；台灣亦同，但可能依病人狀況決定追蹤頻率。