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常见胰腺疾病。

Common pancreatic disease.

机构信息

School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong, China.

出版信息

Adv Exp Med Biol. 2010;690:29-51. doi: 10.1007/978-90-481-9060-7_3.

Abstract

Pancreatitis is an inflammatory disease of the pancreas characterized by acute and chronic condition as well as varying duration and severity. Acute pancreatitis (AP) is a severe abdominal inflammation, characterized by parenchymal edema, necrosis with occasional presence of pseudocysts, abscess, hemorrhage, and inflammatory cell infiltration. Its disease spectrum varies from mild edematous to severe disease with fatal complications. Pancreatic acinar cells are very susceptible to inflammation during an episode of AP attack. It is believed that some initiating factors can lead to the premature transformation of inactive pro-proteases into active proteases within the pancreas. The active proteases degrade a number of cellular proteins such as the structural protein F-actin, thus leading to the collapse and malfunction of acinar and pancreatic damage, a process known as autodigestion of the pancreas.

摘要

胰腺炎是一种胰腺炎症性疾病,其特征为急性和慢性病症以及不同的持续时间和严重程度。急性胰腺炎(AP)是一种严重的腹部炎症,其特征为实质水肿、坏死,偶尔存在假性囊肿、脓肿、出血和炎症细胞浸润。其疾病谱从轻度水肿到伴有致命并发症的严重疾病不等。在 AP 发作期间,胰腺腺泡细胞非常容易受到炎症的影响。人们认为,一些起始因素可导致无活性的前蛋白酶过早转化为胰腺内的活性蛋白酶。活性蛋白酶降解许多细胞蛋白,如结构蛋白 F-肌动蛋白,从而导致腺泡细胞和胰腺功能障碍的崩溃和功能失常,这一过程称为胰腺自溶。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d57/7121708/fc7f0b1b9f94/978-90-481-9060-7_3_Fig1_HTML.jpg

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