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新冠疫苗接种后发生的急性胰腺炎:一例病例报告及文献简要综述

Acute pancreatitis following COVID-19 vaccine: A case report and brief literature review.

作者信息

Boskabadi Seyyed Javad, Ala Shahram, Heydari Fatemeh, Ebrahimi Mahbobeh, Jamnani Alireza Nikzad

机构信息

Department of Clinical Pharmacy, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran.

Professor of Clinical Pharmacy, Department of Clinical Pharmacy, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran.

出版信息

Heliyon. 2023 Jan;9(1):e12914. doi: 10.1016/j.heliyon.2023.e12914. Epub 2023 Jan 14.

Abstract

Vaccination is the most effective way to overcome COVID-19 morbidity and mortality. However, Covid-19 vaccines may cause potential adverse effects. We reported a 28-year-old healthy woman who was referred to the emergency department with a chief complaint of severe abdominal pain, nausea and hemoptysis. She has received two doses of COVID-19 vaccine (Sinopharm BIBP). Similar this time, three days after the injection of the second dose of the Sinopharm BIBP COVID-19 vaccine, abdominal and flank pain appeared, for which she has referred to the emergency department. After necessary tests and pancreatitis was confirmed, we started fluid therapy, plasmapheresis, gemfibrozil and insulin for patient management. The COVID-19 vaccines may lead to acute pancreatitis. The mechanism of pancreatitis caused by COVID-19 vaccines is unclear. Acute pancreatitis can develop after COVID-19 vaccination. This process can even happen a few months later. Therefore, to better diagnosis and prevention of long-term complications, it is necessary to measuring the lipase or amylase in patients that received COVID-19 vaccine if abdominal pain was occurred.

摘要

接种疫苗是克服新冠病毒发病和死亡的最有效方法。然而,新冠疫苗可能会引起潜在的不良反应。我们报告了一名28岁的健康女性,她因严重腹痛、恶心和咯血为主诉被转诊至急诊科。她接种了两剂新冠疫苗(国药集团北京生物制品研究所生产)。此次情况类似,在接种第二剂国药集团北京生物制品研究所新冠疫苗三天后,出现腹部和侧腹疼痛,为此她被转诊至急诊科。在进行必要检查并确诊为胰腺炎后,我们开始对患者进行液体治疗、血浆置换、吉非贝齐和胰岛素治疗。新冠疫苗可能会导致急性胰腺炎。新冠疫苗引起胰腺炎的机制尚不清楚。接种新冠疫苗后可能会发生急性胰腺炎。这个过程甚至可能在几个月后发生。因此,为了更好地诊断和预防长期并发症,如果接种新冠疫苗的患者出现腹痛,有必要检测其脂肪酶或淀粉酶。

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本文引用的文献

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