摘要
目的探讨老年人急性胰腺炎的临床特点、诊治措施及影响预后的因素。方法回顾性分析老年人急性胰腺炎(老年组)的临床资料31例,并与同期非老年患者(非老年组)53例作比较。结果老年组的诱因主要为胆结石症(20例占62.5%),主要临床表现为腹痛、发热,其中1例因休克入院,血淀粉酶升高,诊断为急性出血坏死性胰腺炎,抢救无效死亡。重症胰腺炎8例,老年组5例,非老年组3例,老年组重症胰腺炎突出表现为呼吸功能不全3例(60%),休克1例(20%),肾功能不全1例(20%)。并存症,老年组17例,非老年组5例,2组比较,差异有统计学意义(P<0·01)。主要并存症为心、脑、肺疾病及糖尿病。老年组死亡1例,病死率为3.2%,非老年组无死亡。结论老年人急性胰腺炎具有临床表现不典型、病情重、并存症多的特点,积极内科综合治疗,能改善患者预后。
[ Objective] To explore the clinical features and treatment measures of senile acute pancreatitis and factors that influence the prognosis. [ Methods] Retrospective analysis was made on the clinical data of 31 cases of senile acute pancreatitis; comparison was made with that of non -senile acute pancreatitis. [ Results] Cholecystolithiasis was the most common etiology of acute pancreatitis in the senile group （62.5% ） ; abdominal pain and fever were the most common symptoms; 5 cases in the senile group and 3 in the non-senile group were severe pancreatitis ; the major manifestation of the severe senile pancreatitis were respiratory failute （ 3 cases; 60% ） , shock （ 1 case; 20% ） and renal failute （ 1 case; 20% ） ; 17 cases in the senile group and 5 cases in the non-senile group experienced complications, the difference was significant （ P 〈 0. 01） ; the main complications were cardio, cerebral and pulmonary diseases and diabetes. One case of the senile group died with a mortality of 3.2%, no case died in the non - senile group. [ Conclusion ] The clinical manifestations of senile acute pancreatitis are nontypical and severe with many complications ; active comprehensive internal treatment can improve the prognosis of the patients.
出处
《职业与健康》
CAS
2007年第16期1459-1460,共2页
Occupation and Health
关键词
胰腺炎
临床特点
诊治措施
预后
Pancreatitis
Clinical features
Measures for diagnosis and
Treatment
Prognsis
