老年人急性胰腺炎35例临床分析

Clinical Analysis of 35 Aged Patients with Acute Pancreatitis

目的:探讨老年急性胰腺炎的综合治疗策略。方法:回顾性分析我院2005年10月-2010年10月收治的35例老年人急性胰腺炎患者的临床资料。结果:35例中治愈31例,死亡4例(重症胰腺炎)。早期手术5例中治愈4例,死亡1例。22例胆源性胰腺炎(重症7例)先行非手术治疗,2-3周后择期胆道手术,治愈20例,死亡2例。非手术治疗8例(重症3例)中治愈7例,死亡1例。结论:降低老年急性胰腺炎死亡率的关键在于尽早诊断和综合治疗。

Objective： To investigate the comprehensive therapy for aged patients with acute pancreatitis （AP）. Methods：The clinical data of 35 aged patients with AP were retrospectively analyzed from Oct 2005 to Oct 2010. Results：Among the 35 cases, 31 were cured and 4 died from severe acute paneeratitis （SAP）. Of 5 cases with early surgery, 4 were cured and 1 died. 22 patients with acute biliary pancreatitis were firstly cured of non-surgical treatment,then elective bilialy surgery after two to three weeks,20 were cured and 2 died. Of 8 patients with non- surgical treatment, including 3 SAP,7 were cured and 1 died. Conclusions：To lower the mortality of AP in the aged, the key lies in early diagnosis and comorehensive theraov.