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[一名儿童的重症急性胰腺炎与甲型H1N1流感病毒感染:病例报告]

[Severe acute pancreatitis and infection by influenza A (H1N1) virus in a child: case report].

作者信息

Rodríguez Schulz Diego, Martínez Agustina, Guzmán María Belén, Robledo Hugo, Capocasa Patricia, Martínez Luz, Garnero Analía

机构信息

Unidad de Terapia Intensiva, Hospital de Niños de la Santísima Trinidad de Córdoba.

Servicio de Diagnóstico por Imágenes, Hospital de Niños de la Santísima Trinidad de Córdoba.

出版信息

Arch Argent Pediatr. 2015 Aug;113(4):e215-8. doi: 10.5546/aap.2015.e215.

Abstract

Acute pancreatitis is an inflammatory disease of the pancreas, characterized by abdominal pain and high level of pancreatic enzymes. Pancreatitis is the most common disease of pancreas in children and adults. For the diagnosis we need 2 of 3 characteristics: abdominal pain characteristic of acute pancreatitis, amylase and/or lipase 3 times higher than the normal upper limit and characteristic findings in images. The etiologies are multiple: trauma, metabolic disease and infections: mixovirus, HIV, measles, coxsackie, hepatitis B, C, cytomegalovirus, varicella, herpes simplex. Three cases of PA associated with H1N1 Influenza virus were reported, only one in a child with uncomplicated features.

摘要

急性胰腺炎是胰腺的一种炎症性疾病,其特征为腹痛和胰酶水平升高。胰腺炎是儿童和成人中最常见的胰腺疾病。对于诊断,我们需要具备以下三个特征中的两个:急性胰腺炎特征性的腹痛、淀粉酶和/或脂肪酶高于正常上限3倍以及影像学特征性表现。病因多种多样:创伤、代谢性疾病和感染,如混合病毒、HIV、麻疹、柯萨奇病毒、乙型肝炎、丙型肝炎、巨细胞病毒、水痘、单纯疱疹病毒。有3例胰腺炎与甲型H1N1流感病毒相关的报道,其中只有1例发生在一名无并发症的儿童身上。

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