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ERCP术后高淀粉酶血症的灰色地带：急性胰腺炎的鉴别诊断
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Abstract:
内镜逆行性胰胆管造影(Endoscopic retrograde cholangiopancreatography, ERCP)技术发展迅速，当前不仅仅可以用来诊断胆管、胰腺等消化系统疾病，而且可以实现内镜微创治疗胆总管结石的目的，相比于外科取石治疗，术后相关并发症减少，手术创伤小、术后恢复快、结石残余或复发等问题减少，是一种常用的治疗和诊断胰胆道疾病的工具。胰腺炎是ERCP的重要并发症之一。尽管短暂性高淀粉酶血症是一种更常见和良性的情况，但它必须与ERCP后胰腺炎区分开来。
Endoscopic retrograde cholangiopancreatography (ERCP) technology has developed rapidly, cur-rently not only can be used to diagnose bile duct, pancreas and other digestive diseases, but also can achieve the purpose of endoscopic minimally invasive treatment of common bile duct stones, compared with surgical lithotomy treatment, postoperative related complications are reduced, sur-gical trauma is small, postoperative recovery is fast, stone residue or recurrence and other prob-lems are reduced. It is a commonly used tool for the treatment and diagnosis of pancreatobiliary diseases. Pancreatitis is one of the important complications of ERCP. Although transient hypera-mylaseemia is a more common and benign condition, it must be distinguished from post-ERCP pan-creatitis.
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