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[急性胰腺炎(柯萨奇B2病毒?)及相关异常]

[Acute pancreatitis (a Coxsackie B2?) and associated anomalies].

作者信息

Pérez Alvarez F, Planell Soler C, Puigdevall Dalmau M A, Gómez Portabella V, Sin Opi J M

出版信息

An Esp Pediatr. 1983 Jun;18(6):493-97.

PMID:6312860
Abstract

Authors report one case of acute pancreatitis in an obese twelve-year-old girl. The clinical picture appeared, without antecedent causes, as acute abdomen which required operation. Reduced echodensity of the pancreas was not found. The patient improved and recovered completely, her course being uneventful two years later. Scoliosis due to hemivertebra, and renal hypoplasia were present. No pancreatic malformation according to hypothesis of commun pathogenic mechanism was identified. Antibody titer to coxsackie B2 suggesting etiologic role was obtained. Amylase creatinine clearance ratio was calculated and suitability of establishing diagnostic values for pediatric ages is emphasized.

摘要

作者报告了一例12岁肥胖女孩的急性胰腺炎病例。临床表现无前驱病因,以急腹症形式出现,需要手术治疗。未发现胰腺回声密度降低。患者病情好转并完全康复,两年后病程平稳。存在半椎体导致的脊柱侧弯和肾发育不全。根据共同致病机制假说,未发现胰腺畸形。获得了提示病因作用的柯萨奇B2抗体滴度。计算了淀粉酶肌酐清除率,并强调了建立儿童年龄诊断值的适用性。

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