老年急性胰腺炎患者临床特点分析(附185例报道)

Clinicalfeatures analysis of elderly patients with acute pancreatitis(Report of 185 cases)

[目的]分析老年急性胰腺炎患者的临床特点及有效的临床诊治措施。[方法]对本院近10年内收治的185例老年急性胰腺炎患者(老年组)的临床资料进行回顾性分析,并与同期192例非老年急性胰腺炎患者(非老年组)的资料进行对比分析。[结果]老年组发生急性胰腺炎的病因主要是胆道疾病,其次是血脂异常及饮酒;与非老年组相比,老年组重症胰腺炎发生率较高(P<0.05),且全身并发症休克、感染、多器官功能障碍较多(P<0.05);老年组发生急性胰腺炎病死率为9.7%,非老年组病死率为2.1%,2组比较差异有统计学意义(P<0.01)。[结论]急性胰腺炎是老年患者的常见疾病,也是致死率较高的疾病;临床给予早期诊断治疗,可以有效地改善老年患者的预后。

[Objective]To analyze the clinical characteristics and treatment effect in elderly patients with acute pancreatitis.[Methods]We retrospectively reviewed 185 cases of elderly patients with acute pancreati-tis and 192 non-elderly cases as control w hich treated in our hospital in the recent 10 years.[Results]T he e-tiology of elderly patients with acute pancreatitis was mainly biliary tract disease ,followed by hyperlipi-demia and drinking alcohol.Comparing with the control group ,the elderly patients group had a higher inci-dence of severe pancreatitis（P〈0.05）.The incidence of systemic complications ,including shock ,infection , multiple organ dysfunction were higher in elderly patients group.The differences between the two groups was significant（P〈0.05）.The mortality in elderly patients group was 9.7% ,while the mortality rate of non-elderly group was 2.1%.The difference between the two groups was significant （P〈0.01）.[Conclu-sion]Acute pancreatitis is a common disease in elderly patients ,and also has a high mortality rate.Early clinical diagnosis and treatment can effectively improve the prognosis in elderly patients.