摘要
目的 探讨高原老年胆源性胰腺炎的临床特点和治疗原则。方法 对 1994年 1月— 2 0 0 3年 1月收治的 74例老年胆源性胰腺炎进行回顾分析。结果 手术治疗 63例 ,非手术治疗 11例 ,出现并发症 17例 ,治愈 69例 ,死亡 5例。结论 高原老年胆源性胰腺炎的临床特点为并存病多 ,病史长 ,入院晚 ,症状体征不典型 ,普遍出现黄疸 ,死亡率高。治疗原则为重视围手术期处理 ,纠正合并症 ,把握手术适应证和手术时机 。
Objective To explore the clinical features and the treatment of the elderly pancreatitis with biliary origin. Methods We reviewed the clinical data of 74 elderly pancreatitis with biliary origin from Jan. 1994 to Jan. 2003.Results Sixty-three patients were treated by surgical operation, and 11 patients were conservatively treated. Seventeen patients experienced complications, and 69 patients were cured, and 5 patients died.Conclusion The characteristics of elderly pancreatitis with biliary origin are of more complications, long history, late admittance to hospital, atypical manifestations and signs, prevalent jaundice, and high death rate. The therapeutic principle is to stress on perioperative management, treat complications, and perform simple and effective operation on the basis of realizing the indications and manners.
出处
《临床军医杂志》
CAS
2004年第5期52-54,共3页
Clinical Journal of Medical Officers
关键词
高海拔
老年
胆源性胰腺炎
plateau
elderly
pancreatitis with biliary origin
