32例老年急性胰腺炎临床特点分析  

ANALYSIS OF CLINICAL CHARACTERISTICS OF ACUTE PANCREATITIS IN 32 ELDERLY PATIENTS

作　　者：金小顺[1] 赵怀辉[1] 范晓黎[1] 章敢[1] 李钟声[1] 薛传信[1] 

机构地区：[1]安徽医科大学滁州临床学院(滁州市第一人民医院)普外科,滁州239000

出　　处：《肝胆外科杂志》2011年第3期195-197,共3页Journal of Hepatobiliary Surgery

摘　　要：目的总结诊治老年人急性胰腺炎的临床经验,以提高对老年人急性胰腺炎的认识和重视。方法回顾性分析近10年来收治的急性胰腺炎中60岁以上的患者32例临床资料。结果 32例中发病原因胆道疾病有22例,高脂血症5例,酒精性3例,不明原因2例。轻症20例,重症12例,重症占37.5%。全组死亡率6.25%,重症急性胰腺炎死亡率16.6%。结论老年人急性胰腺炎具有临床表现不典型、病情重、以胆源性疾病为主要病因、并发症多的特点,应采取综合治疗措施,以降低病死率,改善预后。Objective To summarize the clinical diagnosis and treatment experiences for senile acute pancreatitis patients and improve the knowledge about it.Methods The clinical data of 32 elderly AP patients（age≥60） in recent ten years were retrospectively analyzed.Results Among 32 case,the causes of biliary tract disease occurs 22 cases,hyperlipemia in 5 cases,alcoholic in 3 cases,unknown causes in 2 cases.The mild AP is 20 cases,and the severe AP in 9 cases（37.5%）.The mortality is 6.25% in whole team,and 16.6% in severe AP team.Conclusion The clinical manifestations of elderly acute pancreatitis are nontypical,biliogenic pancreatitis was the primary etiology and severe with many complications;active comprehensive treatment can degrade case fatality and improve the prognosis of the patients.

关 键 词：老年人 急性胰腺炎 病因 综合治疗 

分 类 号：R658[医药卫生—外科学]