老年急性胰腺炎110例临床分析  

Clinical analysis of 110 elderly patients with acute pancreatitis

作　　者：陈扬[1] 罗咏萍[1] 陈忠华[1] 李钰[1] 

机构地区：[1]宜宾市第二人民医院消化科,四川644000

出　　处：《中国临床新医学》2013年第4期362-364,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

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。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 a- cute 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,in- cluding 35 patients in the observation group and 15 patients in the control group. In observation groups acute respira- tory 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 mani- festation was not typical with severe disease condition in elderly patients with acute pancreatitis. Positive comprehen- sive treatment can improve the prognosis of elderly patients with acute pancreatitis.

关 键 词：胰腺炎 老年人 临床分析 

分 类 号：R576.04[医药卫生—消化系统]