老年人阻塞性黄疸的病因及临床特点分析

目的探讨老年人阻塞性黄疸的病因及临床特点。方法回顾分析2006年1月～2010年12月治疗的67位确诊为梗阻性黄疸的老年患者(年龄60～90岁)的临床资料。结果老年人梗阻性黄疸患者的性别比例男:女=1:l.16。67例老年人梗阻性黄疸患者中消化系统肿瘤42例(62.69%),其中胰腺癌22例(包括胰头癌18例),肝癌3例,胆囊癌2例,胆管癌9例,乳头癌5例,十二指肠癌1例。结论老年患者是首位致梗阻性黄疸的因素,往往早期缺乏典型临床表现,显性黄疸既是主要的临床特征又是最有价值的诊断依据,中晚期黄染常伴有腹痛等伴发症状。超声可使多数患者确诊,ERCP可明显提高诊断的阳性率。

Objective To investigate Etiopathogenisis and Clinical analysis of Obstructive jaundice in elderly patients.Methods Aretrospective study was made in the elderly patients（aged from 60 to 90years old） with Obstructive jaundice from January i n 2006 to in December 2007,whom were admitted in our Hospital.Results There were 31 males and 36 females.Female to male ratio was 1.16.In all patients there are 42 cases（62.69%） with carcinoma of digestive system,include 22 cases with pancreas carcinoma（carcinoma of the head of the pancreas of 18 cases）,3cases with hepatoma,2 cases with carcinoma of gallbladder,9 cases with cholangiocarcinoma.Conclusion The most common etiological factor of obstructive jaundice in elderly patients was carcinoma.The patients＇ clinical manifestations were not typical in early,among clinical signs,jaundice was seen in 96.07% of the patients,and the main complaints was abdominal pain at advanced stage.ERCP can raise the positive than Sonography.