| 摘要: |
| ［摘要］ 目的 探讨老年急性胰腺炎（AP）的临床特点、治疗措施及影响预后的因素。方法 回顾性分析老年AP患者(观察组)110例的临床资料，并与同期非老年AP患者(对照组)116例做比较。结果 观察组发病的主要原因为胆结石（70例，63.6%)；主要表现为腹痛、呕吐。两组发生重症胰腺炎共50例，其中观察组35例，对照组15例，观察组重症胰腺炎突出表现为急性呼吸窘迫综合征10例(28.6%)，休克6例(17.1%)，肾功能不全5例(14.3%)。结论 老年AP具有临床表现不典型、病情重的特点，积极内科综合治疗，能改善患者预后。 |
| 关键词: 胰腺炎 老年人 临床分析 |
| DOI：10.3969/j.issn.1674-3806.2013.04.26 |
| 分类号:R 576.04 |
| 基金项目: |
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| Clinical analysis of 110 elderly patients with acute pancreatitis |
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CHEN Yang，LUO Yong-ping，CHEN Zhong-hua，et al.
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Department of Gastroenterology, the Second People’s Hospital of Yibin, Sichuan 644000,China
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| Abstract: |
| ［Abstract］ Objective To investigate the clinical characteristics, treatment measures and prognostic factors of elderly patients with acute pancreatitis.Methods A retrospective analysis of clinic data of 110 elderly patients with acute pancreatitis (observation group) was performed and compared with that of 116 non-elderly patients with acute pancreatitis (control group).Results In the observation group gallstones was the main pathogeny (70 patients,63.6%) ;abdominal pain and vomiting were the main symptoms.There were 50 patients with severe pancreatitis,including 35 patients in the observation group and 15 patients in the control group. In observation groups acute respiratory distress syndrome was outstanding manifestation of severe pancreatitis(10 patients,28.6%), secondly 6 patients(17.1%) complicated with shock and 5 patients(14.3%) with renal insufficiency.Conclusion The clinical manifestation was not typical with severe disease condition in elderly patients with acute pancreatitis.Positive comprehensive treatment can improve the prognosis of elderly patients with acute pancreatitis. |
| Key words: Pancreatitis Elderly people Clinical analysis |
