摘要
目的:探讨老年重症急性胰腺炎(severe acute pancreatitis,SAP)的临床特点及治疗对策。方法:回顾性分析我院24例老年SAP患者的临床资料,并与同期收治的36例非老年SAP患者的资料进行比较。结果:老年SAP患者以胆石症为主要病因,多伴有其他慢性疾病,高血压最多见。老年患者的局部并发症和多器官功能障碍(衰竭)发生率明显高于对照组。结论:老年SAP病因以胆源性疾病为主,临床表现无特异性,伴发病多,并发症发生率较高,诊疗难度较大。
Objective：To investigate the clinical character and treatment strategy of elderly patients with severe acute pancreatitis（SAP）.Methods：The clinical data from 24 cases of elderly patients with SAP in our hospital were analyzed retrospectively and compared with 36 cases of non-elderly patients with SAP in the same period.Results：The main cause of elderly patients with SAP was cholelithiasis,which was more associated with other chronic diseases,and hypertension was the most common.In elderly patients with local complications and multiple organ dysfunctions（failure） were significantly high er than those of the control group.Conclusion：The main cause of elderly patients with SAP is billiard disease,the clinical manifestations are non-specific,it is associated with many diseases and has a higher rate of complications,diagnosis and treatment of the disease is difficult.
出处
《中国医药导报》
CAS
2010年第19期63-64,共2页
China Medical Herald
关键词
老年人
重症急性胰腺炎
临床诊治
Elderly
Severe acute pancreatitis
Clinical diagnosis and treatment
