【摘要】 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。更多还原

【Abstract】 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.更多还原