【摘要】 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16.6%。结论老年人急性胰腺炎具有临床表现不典型、病情重、以胆源性疾病为主要病因、并发症多的特点,应采取综合治疗措施,以降低病死率,改善预后。更多还原

【Abstract】 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.更多还原