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sindromul ascitic - UMF - Iuliu Haţieganu

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PANCREATITA CRONICA – Explorari<br />

1. BIOCHIMIA SERULUI - nu există teste specifice !<br />

• amilaze / lipaza<br />

– normale (exceptie – cresc eventual in “atacul” recurenţial)<br />

• tripsinogen seric<br />

– valori patologice = < 20 ng / ml<br />

• modificări de afectare hepatică<br />

– citoliza, sindrom de colestază (daca există obstrucţia CBP)<br />

• hiperlipemie (eventual)<br />

• hiperglicemie (eventual)<br />

In pancreatita autoimuna – sugestiv:<br />

• autoanticorpi serici<br />

– Atc anti IGG4, Atc antinucleari, factor reumatoid, antianhidraza carbonica<br />

• cresterea VSH<br />

afectare hepatică (eventual)

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