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Literature analysis of acute pancreatitis caused by azathioprine
Yiqi SUN, Sheng CHENG, Yin LIAO, Siyang SONG, Zixin HUA, Jiqian LI, Xingang LI
Clinical Medication Journal, 2025, 23(2): 65-71.   DOI: 10.3969/j.issn.1672-3384.2025.02.012

第一作者用法用量合并用药/是否解释为合并用药致AP潜伏期实验室检查(U/L)临床 表现处理方法转归/时间
Venkatesh12 mg/(kg·d)泼尼松/否2周LPS:升高,AMY:升高停药LPS、AMY恢复,腹痛消失/-
陈叶青350 mg/d23 dLPS:1415,AMY:411①②③停药、对症处理LPS、AMY恢复,腹痛缓解/7 d
梁国栋450 mg/d英夫利昔单抗/否25 dLPS:4075,AMY:536①②停药、对症处理LPS、AMY恢复/6 d;腹痛消失/8 d
Ghazanfar52片(规格不明)氢氯噻嗪、雷米普利、泼尼松/均否1 dLPS:912①②停药临床症状改善/-
Hegyi6150 mg/d布地奈德/否不足1个月LPS:402,AMY:776停药、对症处理LPS、AMY明显下降,腹痛消失/4 d
Mishra750 mg/d布地奈德/否5 dLPS:664,AMY:488停药LPS、AMY改善/-;腹痛消失/4~5 d
曾大勇875 mg,每日2次溴比斯的明、泼尼松/均否59 dLPS:3838,AMY:909①②未停药,对症处理未见明显好转/11 d
LPS:1503,AMY:5911 d后停药LPS未恢复、AMY恢复/6 d;腹痛缓解/2 d
张峰睿950 mg/d美沙拉秦/否;英夫利昔单抗/是24 dLPS:1266,AMY:125①②③停药、对症处理LPS、AMY恢复/6 d;腹痛缓解/2 d
陈肖1050 mg/d泼尼松/否23 dLPS:1084,AMY:336①②停药、对症处理LPS、AMY恢复,腹痛基本消失/8 d
Basturk112 mg/(kg·d)美沙拉秦/是2年LPS:650,AMY:980停药、对症处理LPS、AMY恢复/4 d
Gallego- Gutiérrez12
病例12.5 mg/(kg·d)-3周LPS:6549,AMY:934停药、对症处理LPS、AMY恢复,腹痛消失/5 d
病例22.5 mg/(kg·d)-2周LPS:536停药、对症处理预后良好/-
Ledder13
病例125 mg/75 mg-2周/36 hLPS:430,AMY:332停药LPS、AMY恢复,腹痛消失/-
病例225 mg/75 mg-2周/3 dLPS:934停药LPS恢复/2 d;腹痛缓解/-
病例350 mg/d-3周LPS:829,AMY:158停药LPS、AMY恢复,腹痛消失/-
病例425 mg/d-2周LPS:876,AMY:226停药LPS、AMY恢复,腹痛缓解/-
Lai14100 mg/d-2周左右LPS:1488,AMY:200①②停药、对症处理LPS恢复/7 d;AMY及腹痛转归未提及
Alexander15
病例1150 mg/d-3周LPS:438停药LPS恢复/-
病例250 mg/100 mg-4周/2 dLPS:6502,AMY:894停药-
病例3150 mg/d-4周LPS:1423,AMY:108停药腹痛消失/-
Inoue1650 mg/d美沙拉秦、泼尼松/均否4个月LPS:2634,AMY:647停药LPS、AMY恢复,腹痛消失/-
华静1750 mg/d泼尼松/否3周AMY:193①②停药、对症处理AMY恢复,腹痛基本消失/5 d
Siwach1875 mg/d环孢素、泼尼松/均否13个月AMY:320停药、对症处理-
Guillaume1950 mg/d泼尼松/否27 dLPS:3280①②停药、对症处理AMY恢复,腹痛消失/4 d;
Herskowitz2050 mg,每日2次泼尼松/否1年AMY:511①③停药、对症处理AMY及腹痛迅速缓解/-
Isenberg2150 mg/d泼尼松/否3周AMY明显升高停药AMY及腹痛缓解/72 h内
表2 26例患者的临床表现、硫唑嘌呤治疗及转归情况
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