新型冠状病毒相关性急性胰腺炎的认识现状
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中南大学湘雅医院 胰腺外科,湖南 长沙410008

作者简介:

黄耿文,中南大学湘雅医院主任医师,主要从事胆胰外科和疝外科方面的研究。

基金项目:

国家自然科学基金资助项目(81802450);湖南省自然科学基金资助项目(2020JJ4133)。


Current knowledge of SARS-CoV-2 associated acute pancreatitis
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Department of Pancreatic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China

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    摘要:

    新型冠状病毒肺炎(简称新冠肺炎)依然在全球肆虐,有关新冠肺炎的文献报道呈指数增长,其中已有病例报道、回顾性研究以及生物信息学数据开始关注新冠肺炎与急性胰腺炎的关联。新冠病毒攻击胰腺的具体机制尚不明确,但新冠病毒受体在胰腺组织中的表达已被证实,且在新冠肺炎患者的胰腺组织中可分离出新冠病毒成分。这些均提示新冠病毒与急性胰腺炎之间可能存在因果联系。新冠病毒相关性急性胰腺炎临床上易被漏诊,其诊断、严重程度分级及预后均都具有一定的特殊性,值得特别关注。

    Abstract:

    The global pandemic of coronavirus disease 2019 (COVID-19) is still ongoing, and the literature concerning COVID-19 is growing exponentially. The existing data from case reports, retrospective cohort studies and bioinformatics have suggested the relationship between SARS-CoV-2 and acute pancreatitis (AP). The mechanism of how SARS-CoV-2 attacks pancreas remains unclear. However, the expression of the receptor of SARS-CoV-2 in pancreatic tissue has been confirmed, and the components of SARS-CoV-2 have been isolated in the pancreas from patients with COVID-19. These evidences indicate that there may be a causality between SARS-CoV-2 and AP. The SARS-CoV-2 associated acute pancreatitis (SAAP) is likely to be misdiagnosed in clinical settings. Its diagnosis, severity classification and prognosis have specificities that deserve special attention.

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张韬,朱帅,黄耿文.新型冠状病毒相关性急性胰腺炎的认识现状[J].中国普通外科杂志,2021,30(9):1017-1022.
DOI:10.7659/j. issn.1005-6947.2021.09.004

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  • 收稿日期:2021-08-15
  • 最后修改日期:2021-09-23
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  • 在线发布日期: 2021-10-09