Imrie C W, Ferguson J C, Sommerville R G
Gut. 1977 Jan;18(1):53-6. doi: 10.1136/gut.18.1.53.
A prospective study of 116 patients with acute pancreatitis included routine screening for evidence of viral infection. Five patients (all female) exhibited significant rising antibody titres to Coxsackie B or mumpsvirus, while none of the remaining 111 patients did. Diarrhoea was a prodromal feature of the pancreatitis in those patients with evidence of viral disease. Screening patients with acute pancreatitis for Coxsackie B and mumpsvirus infections is worthwhile in the identification of aetiological factors and may minimise protracted biliary investigations. The incidence of "idiopathic" acute pancreatitis in this study was 5-2% (six patients).
一项针对116例急性胰腺炎患者的前瞻性研究包括对病毒感染证据进行常规筛查。5例患者(均为女性)对柯萨奇B病毒或腮腺炎病毒的抗体滴度显著上升,而其余111例患者均未出现这种情况。腹泻是那些有病毒感染证据患者胰腺炎的前驱症状。对急性胰腺炎患者进行柯萨奇B病毒和腮腺炎病毒感染筛查,对于确定病因因素是有价值的,并且可能减少冗长的胆道检查。本研究中“特发性”急性胰腺炎的发生率为5.2%(6例患者)。