老年重症急性胰腺炎的临床特点与护理对策

Clinical characteristics and nursing strategies of the severe acute pancreatitis in aged people

目的通过对37例老年重症急性胰腺炎(SevereAcutePancreatitis,SAP)的护理,探讨老年人SAP的特点及护理要点。方法16例手术治疗(解除梗阻,引流胆汁,简单胰旁引流)。另21例非手术治疗(其中3例加区域性动脉灌注)。结果37例患者,治愈25例,治愈率67.6%。其中手术治疗治愈12例,治愈率75.0%,非手术治疗治愈13例,治愈率61.9%。死亡12例,死亡率为32.4%。结论针对老年人SAP起病急、病情变化快、伴发病多等特点,做好病情观察、预防并发症的发生、保持管道通畅、做好手术后的相关护理及心理护理是老年SAP患者护理关键。

To investigate the clinical and nursing characteristics of severe acute pancreatitis (SAP) in aged people through nursing 37 cases of such patients. Methods Sixteen cases were treated with surgery (relieve obstruction, drain bile and simply drain the tissues adjacent to pancreas). Twenty one cases were treated with non-operation method (regional artery were irrigated in 3 of them). Results Twenty five cases were cured with curative rate 67.6%. Twelve patients died with mortality 32.4%. Conclusion The clinical characteristics of the aged SAP patients include acute onset, rapid development of illness and many complications. To observe patients' state of illness, prevent complications keep tracts drainage freely and give psychological and related nursing are the key points for nursing aged SAP patients.