— 生理適應 · EASY · MCQ —
一位急性胰臟炎病患主訴上腹痛轉移至背部，護理師應最密切監測哪項實驗室數據？
A client with acute pancreatitis presents with severe epigastric pain radiating to the back. Which laboratory value should the nurse monitor most closely?
- ASerum lipase✓ 正解血清脂肪酶
- BSerum glucose血清葡萄糖
- CSerum amylase血清澱粉酶
- DSerum calcium血清鈣
— Explanation · 中文詳解 —
急性胰臟炎診斷的黃金指標為脂肪酶（Lipase）。雖然澱粉酶（Amylase）亦會上升，但其特異性較低，且回到正常值的速度快。脂肪酶在血中維持高值較久，對胰臟組織損害的反映更為精確，是臨床診斷與評估病情發展的核心依據。
Serum lipase is the most specific and reliable marker for diagnosing acute pancreatitis, remaining elevated longer than amylase. While amylase levels rise early, they lack specificity and return to normal quickly, making lipase the preferred indicator for confirming the diagnosis and monitoring disease progression.
✦ 台美臨床差異
美台臨床皆視 lipase 為診斷首選，美國醫囑常透過電子系統快速自動化警示此值變化。