32例老年急性胰腺炎临床特点分析

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...

ANALYSIS OF CLINICAL CHARACTERISTICS OF ACUTE PANCREATITIS IN 32 ELDERLY PATIENTS

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.