《急診每日一題》谷氨酸轉(zhuǎn)肽酶與總膽管結(jié)石2021年1月
Question?問題:
Spontaneous stone migration out of the common bile duct occurs in up to 20% of choledocholithiasis cases. GGT > 90 U/L is sensitive and specific for CBD stones. How long does the GGT normalize, even if the obstruction resolves immediately??
大概20%總膽管膽囊結(jié)石患者中總膽管(CBD)結(jié)石會自動排出。谷氨酰轉(zhuǎn)肽酶(GGT)> 90 U/L對CBD結(jié)石是敏感和特異的。即使梗阻立刻解除,GGT多長時間會恢復(fù)正常?
Answer?答案:
Elevation of GGT > 90 U/L is sensitive and specific for CBD stones, but it can subsequently take 2-4 weeks for these levels to normalize, even if the obstruction resolves immediately.?
GGT升高> 90 U/L對CBD結(jié)石是敏感和特異的,但即使在梗阻立刻解除后,GGT將需要2-4周恢復(fù)正常。
參考文獻(xiàn):
JEM, epub, 12/15/20
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