在COVID-19相关的急性胰腺炎后感染的壁墙亡
Shota Yagi1,2, Hideki Miwa1, Yosuke Kobayashi3
1Department of Respiratory Medicine, Seirei Hamamatsu General Hospital, Hamamatsu, JPN.
Cureus
|February 8, 2024
概括
严重的COVID-19可以导致急性胰腺炎 (AP) 和感染壁墙亡 (WON). 早期检测和干预对于管理COVID-19患者这种严重并发症至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 严重的COVID-19肺炎可以呈现胰腺酶升高,暗示急性胰腺炎 (AP).
- 感染性隔墙性亡 (WON) 等并发症可能会在AP后出现,特别是在病毒感染的背景下.
- 越来越多地认识到SARS-CoV-2作为AP的直接病因因素的作用,通常与严重程度的增加有关.
研究的目的:
- 在患有严重COVID-19的患者中报告急性胰腺炎 (AP) 后感染的隔墙性亡病例 (WON).
- 突出SARS-CoV-2感染与AP及其并发症的发展之间的潜在关联.
- 强调监测COVID-19患者AP和随后的局部并发症的重要性.
主要方法:
- 一个54岁的男性患有严重的COVID-19肺炎的病例报告.
- 临床评估包括实验室测试 (氨酶,脂酶) 和腹部CT.
- 管理涉及COVID-19的治疗,AP,以及随后的内镜透胃排水和WON的尸体切除术.
主要成果:
- 患者患有严重的COVID-19肺炎,胰腺酶水平升高,与AP一致.
- 尽管初始治疗,持续的发烧导致了感染WON的诊断在39日.
- 内镜排水和体切除术导致了体收集和发烧的改善.
结论:
- SARS-CoV-2可以作为一种传染病原体,有助于AP,它可能表现出更高的严重性和死亡率.
- 应对COVID-19患者进行AP查,诊断出来的患者需要对WON等并发症进行警监测.
- 迅速识别和管理COVID-19相关的AP和WON对于患者的结果至关重要.
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