胸膜渗出液的淀粉酶升高有3种类型:①最常见的类型是胰腺炎(或伴有假性囊肿形成)或胰腺胸膜瘘。②少见的是食道破裂。③恶性渗出液也可有淀粉酶升高。作者报告1例67岁男患者,反复胸水检查,淀粉酶高达34.1～163.9μkat/L(2048～9830U/L),而正常仅0～2.17μkat/L(30～110U/L)。血清淀粉酶为6.0μkat/L(361U/L),血清和胸水中唾液型 There are three types of pleural exudate amylase increased: ① The most common type of pancreatitis (or associated with pseudocyst formation) or pancreatic fistula. ② rare is the esophagus rupture. ③ malignant exudate may also have elevated amylase. The authors reported a 67-year-old male patient who underwent repeated pleural fluid tests with amylase as high as 34.1 to 163.9 μkat / L (2048 to 9830 U / L) and normal only from 0 to 2.17 μ kat / L (30 to 110 U / L). Serum amylase 6.0μkat / L (361U / L), serum and pleural effusion type