老年人重症急性胰腺炎的临床特点  

Clinical Characteristics and Management of Severe Acute Pancreatitis in Senility

作　　者：姜涛[1] 刘彤[1] 何小玲[1] 王鹏志[1] 

机构地区：[1]天津医科大学总医院普通外科,天津300052

出　　处：《中国中西医结合外科杂志》2011年第2期129-132,共4页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:总结老年重症急性胰腺炎的临床特点及治疗经验。方法:回顾性分析26例老年重症急性胰腺炎的临床资料,并与同期收治的56例非老年重症急性胰腺炎患者作比较。结果:胆源性和特发性胰腺炎是老年患者最常见病因;老年患者住院时间长,APACHEⅡ评分以及合并症和并发症的发生率均高于非老年患者,老年患者更易出现器官衰竭。结论:老年重症急性胰腺炎患者早期症状不典型,合并症比较多,病情复杂,宜早期积极预防和治疗并发症。Objective To summarize the clinical characteristics and management of elderly patients with severe acute pancreatitis （SAP）.Methods Twenty-six old age patients with SAP and the clinical characteristics and therapeutic protocols were reviewed,comparing with those of 56 middle age patients with SAP during the same period.Results Biliary and idiopathic etiologies were the two common causes that accounted for 85% of SAP in the elderly patients.The score of SPACHE II and the incidence rates of co-morbidity and complications of old age patients with SAP were higher than those of middle age group.The cure rate of SAP in old age cohort was 84.6% and the cause of mortality were multiple organ dysfunction syndrome （MODS） resulting from adult respiratory distress syndrome （ARDS）.Conclusion In elderly patients,clinical features of SAP are atypical and major organs dysfunction are easily episodes.It is crucial to monitor and improve the function of major organs so as to prevent ARDS and MODS in the aged with SAP.

关 键 词：老年人 重症急性胰腺炎 个体化治疗 

分 类 号：R657.51[医药卫生—外科学]