老年急性胰腺炎53例临床分析

目的探讨老年急性胰腺炎的临床特征及诊治方法。方法回顾性分析53例老年急性胰腺炎患者的临床资料。结果老年急性胰腺炎多合并有基础疾病,诱发因素主要为胆系疾病39例,占73.6%,临床主要表现为腹痛、腹胀、发热等。行急诊手术9例,术后6例发生并发症,经对症处理后均好转,死亡3例;行择期手术21例,术后发生并发症10例,经对症处理后均好转;其余23例经非手术保守治疗痊愈。结论老年急性胰腺炎主要病因为胆系疾病,临床表现多种多样,症状不典型,且合并症多,病情重,内科积极治疗有助于改善预后。

Clinical analysis of 53 elderly patients with acute pancreatitis

Objective To investigate the clinical features and the methods of diagnosis and treatment of acute pancreatitis(AP) in elderly people.Methods The clinical data of 53 elderly patients with AP were retrospectively analyzed.Results The majority of elderly patients with AP associated with underlying diseases.The major predisposing factor was biliary disease(39 cases,accounted for 73.6%).In 9 patients who underwent emergency operation, postoperative complications were found in 6 patients who were cured after symptomatic treatment,3 patients died;21 patients underwent selective operation,postoperative complications were found in 10 patients who were cured after symptomatic treatment;the others(23 patients) were cured and discharged from the hospital after conservative treatment.Conclusion The main cause of AP in the elderly people is biliary diseases.The clinical symptoms were acute and not typical in elderly patients with AP.Active conservative treatment can be helpful in improving the prognosis.