摘要
目的探讨老年人急性胰腺炎临床特点。方法回顾性分析2004年1月至2006年12月在北京友谊医院住院治疗的533例急性胰腺炎患者病例资料,其中≥65岁患者病例190例(老年组),<65岁患者病例343例(非老年组),比较其临床特征、病因、并发症、病死率及系统评分(急性生理及慢性健康状况评分系统Ⅱ评分、多脏器功能障碍评分〗。结果老年组复发次数明显少于非老年组;发病原因以胆源性多见;总胆红素水平、并发肺功能不全、弥散性血管内凝血(DIC)、Apache-Ⅱ评分、多脏器功能障碍评分、病死率老年组明显高于非老年组(P<0.05)。住院天数、血淀粉酶升高持续时间、并发休克、肾衰竭两组比较无显著性差异。结论老年人复发次数少,但易并发肺功能障碍和DIC,病情重,病死率高。
Objective To explore the clinical features of acute pancreatitis in aged patients. Methods Retrospective analysis basing on the clinical data of 533 cases of acute pancreatitis admitted in Beijing Friendship Hospital from January 2004 to December 2006, among which 190 cases were ≥ 65 years old （ elder group） and 343 cases were 〈 65 years old （ non - eider group）. Comparison was made in clinical features, etiologies, complications, mortalities, Acute Physiology and Chronic Health EvaluationⅡ （ Apache - Ⅱ score and MODS score）. Results The number of relapsed cases in the elder group was less than in the non - eider group; the main causes of acute pancreatitis in eider group were biliary diseases; the level of total bilirubin,pulmonary function insufficiency,disseminated intravascular coagulation （DIC）, Apache - Ⅱ score, MODS score and mortality were significantly higher in the eider group than in the non - eider group （ P 〈0.05）. There was no significant difference between the two groups in hospital stay, duration of elevated serum amylase level and complicated shock and acute renal failure. Conclusion Aged patients suffer fewer relapses but more complicated pulmonary function insufficiency and DIC, resuhing in severer condition and higher mortality.
出处
《临床和实验医学杂志》
2007年第11期5-6,8,共3页
Journal of Clinical and Experimental Medicine
关键词
急性胰腺炎
老年人
临床特点
Acute pancreatitis
Aged patients
Clinical features
