老年急性胰腺炎病因及预后因素分析

目的：探讨老年急性胰腺炎（AP）的病因及预后因素。方法：回顾性总结84例老年AP的临床资料，并取同期住院的136例非老年AP临床资料作对照，对比分析两组患者的病因、原发慢性病、并发症及其预后。结果：两组患者病因有所不同，老年组以胆系疾病（51．19％）、高脂血症31例（35．91％）居多，非老年组则以胆系疾病（61．76％）和酒精性（25．00％）为主；老年组病死率为14.3％，显著高于非老年组的3．7％（P〈0．01），影响老年组AP预后的因素主要是MODS及原发慢性病。结论：积极防治MODS及原发慢性病，是降低老年AP发病率和病死率的关键措施。

The causes and prognosis of acute pancreatitis in the elderly patients

Objective:To investigate the etiology and prognosis of acute pancreatitis(AP)in the elderly patients.Methods:84 elderly patients and 136 young patients with AP were analyzed retrospectively.Results:The causes of the two groups were different.The main causes of AP in the elderly patients were biliary tract disease(51.19%),hyperlipemia(35.91%).The main causes in the young patients were biliary tract disease(61.76%)and alcoholic.The mortality in the elderly patients(14.3%)was higher than that in the young patients(3.7%)(P<0.01).MODS and original disease were main influence factors of AP in the elderly patients.Conclusion:Preventive measures and treatment MODS and original diseases might improve the prognosis of AP.