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新型冠状病毒肺炎(COVID-19)相关急性胰腺炎:病例报告。

Coronavirus disease-19 (COVID-19) associated with acute pancreatitis: case report.

机构信息

Department of Anesthesiology and Intensive Care, Ibn Rochd University Hospital of Casablanca, Hassan II University, Casablanca, Morocco.

出版信息

Pan Afr Med J. 2020 Oct 13;37:150. doi: 10.11604/pamj.2020.37.150.25873. eCollection 2020.

DOI:10.11604/pamj.2020.37.150.25873
PMID:33425183
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7757308/
Abstract

The SARS-CoV-2 primarily attacks the respiratory system and the most common symptoms include cough, shortness of breath, and fever. However, its tropism for the digestive system has been demonstrated and its clinical digestive manifestations are increasingly recognized. Nevertheless, little attention has been paid to pancreatic lesions included in SARS-CoV-2 infection. This case describes the presentation of acute pancreatitis as a complication associated with SARS-CoV-2 infection and the importance of looking for this complication in any patient with COVID-19. Data was collected from a patient admitted with COVID-19 to intensive care in July 2020. The patient was diagnosed with acute pancreatitis associated with SARS-CoV-2. Other causes of acute pancreatitis were excluded for both patients (including alcohol, obstruction/gallstones, drugs, trauma, hypertriglyceridemia, hypercalcemia). This case highlights acute pancreatitis as a complication associated with COVID-19 and highlights the importance of measuring lipasemia and performing an abdominal computed tomography (CT) scan in patients with COVID-19.

摘要

新型冠状病毒主要攻击呼吸系统,最常见的症状包括咳嗽、呼吸急促和发热。然而,它对消化系统的趋向性已经得到证实,其临床消化系统表现也越来越受到认识。然而,人们对包括在新型冠状病毒感染中的胰腺病变关注甚少。本病例描述了急性胰腺炎作为新型冠状病毒感染相关并发症的表现,以及在任何 COVID-19 患者中寻找这种并发症的重要性。数据来自 2020 年 7 月因 COVID-19 入住重症监护病房的患者。该患者被诊断为与 SARS-CoV-2 相关的急性胰腺炎。排除了患者(包括酒精、梗阻/胆石症、药物、创伤、高三酰甘油血症、高钙血症)急性胰腺炎的其他病因。本病例强调了急性胰腺炎作为 COVID-19 相关并发症的重要性,并强调了在 COVID-19 患者中测量脂肪酶和进行腹部计算机断层扫描(CT)的重要性。

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2
Coronavirus Disease-19 (COVID-19) associated with severe acute pancreatitis: Case report on three family members.新型冠状病毒病(COVID-19)相关的重症胰腺炎:一家三口发病病例报告。
Pancreatology. 2020 Jun;20(4):665-667. doi: 10.1016/j.pan.2020.04.021. Epub 2020 May 5.
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Covid-19 and the digestive system.Covid-19 与消化系统。
与新型冠状病毒肺炎感染相关的急性胰腺炎:系统评价与数据分析
Cureus. 2022 Aug 25;14(8):e28380. doi: 10.7759/cureus.28380. eCollection 2022 Aug.
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Review on acute pancreatitis attributed to COVID-19 infection.关于 COVID-19 感染引起的急性胰腺炎的综述。
World J Gastroenterol. 2022 May 21;28(19):2034-2056. doi: 10.3748/wjg.v28.i19.2034.
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Hyperlipidemia, COVID-19 and acute pancreatitis: A tale of three entities.高脂血症、COVID-19 和急性胰腺炎:三者之间的故事。
Am J Med Sci. 2022 Sep;364(3):257-263. doi: 10.1016/j.amjms.2022.03.007. Epub 2022 Apr 4.
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COVID-19 Induced Acute Pancreatitis in a Malagasy Woman Patient: Case Report and Literature Review.一名马达加斯加女性患者中由新冠病毒引起的急性胰腺炎:病例报告与文献综述
Int Med Case Rep J. 2022 Mar 29;15:125-134. doi: 10.2147/IMCRJ.S355276. eCollection 2022.
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