年龄对重型胰腺炎的影响

Influence of age on severe pancreatitis

作者将８４例重型胰腺炎患者按不同分界年龄比较界上年龄和界下年龄患者死亡率的差异。结果发现６０岁是影响死亡率的最低年龄分界线。通过对３５例＞６０岁老年患分析显示，老年重型胰腺炎患者最常见的病因是胆囊多发结石；常见的严重伴随疾病为高血压、冠心病、脑血管病和呼吸系统疾病；最易发生衰竭的是呼吸系统和循环系统。以上结果提示，正确认识老年患者病理生理特点，积极治疗胆囊结石，加强呼吸、循环系统的保护措施，提高老年患者的抗病能力是防治老年重型胰腺炎的关键。

AbstractEighty-four patients of severe pancreatitis weredivided by different line of age and the mortality of pa-tients with severe pancreatitis above and below the linewas comared.The results showed that the 60-vear ofage was the age with the lowest mortality.The analy-sis of 35 patients with severe pancreatitis who wereolder than 60 years of age indicated that multiple gall-stones was the most common cause iriitiating thedisease.The common severe concurrent diseases werebypertension, coronary disease,cerebrovasculardisease ,and respiratory disease. Common organ fail-ures were ARDS.shock and heart failure.The numberof failed organs in elderly patients in the fifth and sev-enth day after admission was obviously more than thatIn young patients.