97例老年人急性胰腺炎的诊治探讨

目的探讨老年急性胰腺炎的临床特点和个体化综合治疗策略。方法对急诊中心收治的97例老年急性胰腺炎与同期148例中青年急性胰腺炎患者资料进行回顾分析。结果老年急性胰腺炎临床表现不典型,误诊多,重症比例高,占50.5%,并发症的发生率高达81.4%,病死率8.25%,与中青年组(2.02%)有显著差异(P<0.01)。结论老年急性胰腺炎应尽早诊断,急性炎症反应期尽可能采取个体化非手术综合治疗,后期选择合适的手术时机和手术方式可使绝大部分的老年患者免于死亡,降低死亡率。

Diagnosis and therapy of acute pancreatitis in the aged

Objective To investigate the clinical features, and to finalize an individualized and comprehensive therapy for acute pancreatitis(AP) in the aged. Methods Data of 97 aged cases of AP from October 1996 to October 2006 were retrospectively analyzed and compared with data of 148 cases in the middle-age during the same period. Results The clinical features of aged patients with AP were untypical,and the early diagnosis was difficult,with an incidence of 50.5% of severe AP.The incidence of complication was increased significantly(P<0.05), and the mortality was increased significantly(P<0.01). Conclusions To lower the mortality of AP in the aged, the key lies in early diagnosis and comprehensive therapy.