不同年龄组重症急性胰腺炎临床特点及预后的研究  

Clinical Characteristics and Outcomes of Severe Acute Pancreatitis in Different Age Group

作　　者：项立[1] 胡卫东[2] 龙子义[1] 吴东海[1] 龙舟[1] 杨兵[1] 

机构地区：[1]深圳市龙岗中心医院消化内科,518116 [2]深圳市龙岗中心医院影像科,518116

出　　处：《医学研究杂志》2012年第6期120-122,共3页Journal of Medical Research

摘　　要：目的探讨不同年龄组重症急性胰腺炎(severe acute pancreatitis,SAP)的临床特点及预后。方法回顾性分析2001年1月～2010年11月收治的137例SAP患者,分为老年组(≥60岁)和中青年组(<55岁),比较两组的临床特点、病死率及并发症。结果老年组SAP患者的病死率明显高于中青年组(P<0.05),老年SAP患者更易发生器官障碍,与中青年组相比有显著性差异(P<0.05),尤其是多器官功能障碍的发生率要明显高于中青年患者(P<0.05)。在器官功能障碍中,年老患者组休克的发生率要明显高于中青年组(P<0.05)。结论老年SAP患者相比中青年SAP患者更易发生器官功能衰竭,临床预后更不佳。Objective To study the clinical characteristics and outcomes of severe acute pancreatitis（SAP） in different age group. Methods From January 2001 to November 2010,a consecutive series of 137 patients with SAP were included in the study. They were divided into two groups by different ages. Among them, the elderly group was ≥60 years old and the control group was 〈 55 years old. Clin- ical data, complications and mortality were analysed. Results The mortality of the elderly group was significantly higher than the younger group. The elderly patients with SAP were much more easier to contract organ failure compared with the younger group, especially multiple organ failure（ P 〈 0.05 ）. Shock also more easily hanppened in the elderly patients with SAP（ P 〈 0.05 ）. Conclusion Compared with the younger group, the elderly patients with SAP will be easier to contract organ failure and have worse clinical outcomes.

关 键 词：重症急性胰腺炎 临床 老年 病死率 

分 类 号：R657.51[医药卫生—外科学]