Department of Gastroenterology, The First Affiliated Hospital of NanChang University, Nanchang, Jiangxi 330006, People's Republic of China.
BMC Gastroenterol. 2013 Dec 17;13:171. doi: 10.1186/1471-230X-13-171.
Etiological diagnosis is an important part of the diagnosis and treatment of acute pancreatitis. Hantavirus infection is a rare cause of acute pancreatitis, which is easy to ignore. There is a need to analyze clinical features of acute pancreatitis caused by Hantavirus.
This is a retrospective study conducted from May 1, 2006 to May 31, 2012 on patients diagnosed with hemorrhagic fever with renal syndrome at our hospital. We reviewed these patients medical records, laboratory results and radiologic examinations to determine the prevalence and summarize clinical features of acute pancreatitis in patients with hemorrhagic fever with renal syndrome.
A total of 218 patients were diagnosed with hemorrhagic fever with renal syndrome during the 6-year study period. Only 2.8% (6/218) of the total hemorrhagic fever with renal syndrome patients were diagnosed with acute pancreatitis. The first symptom for all six of the patients with acute pancreatitis was fever. All six patients experienced hemorrhage and thrombocytopenia during the disease course, which was different from general acute pancreatitis. In addition, we presented two misdiagnosed clinical cases.
Acute pancreatitis is not a frequent complication in patients with hemorrhagic fever with renal syndrome. Clinicians should be alerted to the possibility of hemorrhagic fever with renal syndrome when acute pancreatitis patients with epidemiological data have high fever before abdominal pain.
病因诊断是急性胰腺炎诊治的重要环节。汉坦病毒感染是引起急性胰腺炎的少见病因，容易被忽视。有必要分析汉坦病毒引起的急性胰腺炎的临床特征。
本研究为回顾性研究，分析 2006 年 5 月 1 日至 2012 年 5 月 31 日期间我院收治的肾综合征出血热患者的临床资料，对患者的病历资料、实验室结果及影像学检查进行分析，以确定汉坦病毒引起的急性胰腺炎的发病率并总结其临床特征。
本研究共纳入 218 例肾综合征出血热患者，其中仅 6 例（2.8%）被诊断为急性胰腺炎。6 例急性胰腺炎患者的首发症状均为发热。与一般急性胰腺炎不同的是，这 6 例患者在病程中均出现出血和血小板减少。此外，我们还介绍了两例误诊的临床病例。
急性胰腺炎并非肾综合征出血热的常见并发症。对于有流行病学资料且腹痛前有高热的急性胰腺炎患者，临床医生应警惕肾综合征出血热的可能。
