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。
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.
出处
《现代医药卫生》
2006年第15期2282-2283,共2页
Journal of Modern Medicine & Health
关键词
老年人
急性胰腺炎
病因
预后因素
Senile patient
Acute pancreatitis
Etiology
Prognosis
