摘要
目的：探讨老年重症急性胰腺炎（SAP）的临床特点和治疗策略。方法：将88例SAP按年龄分为老年组（≥60岁）和中青年组，对比分析与发病相关的因素、并存病与并发症、治疗方法对预后的影响。结果：老年发病的相关因素中胆系疾病、无明显诱因高于中青年组（Ｐ<0.05）；老年组并存病率、并发症率和死亡率均明显高于中青年组（Ｐ<0.05，Ｐ<0.01）;老年SAP早期手术治疗的并发症率、死亡率和治愈者平均住院天数均显著高于非手术治疗（Ｐ<0.05）。结论：并存病、并发症发生率高是老年SAP的主要临床特点，治疗并存病和防治并发症是降低老年SAP死亡率的关键性措施。对非胆道梗阻性SAP，尽量避免采用早期手术治疗。
Objective: To investigate the clinical features and treatment strategy for severe acute pancreatitis (SAP) in the aged . Methods: 88 patients with SAP were alloccated into two groups according to their ages, namely aged group (≥60 years old) and younger group. Conditions associated with SAP, concurrent diseases and complications, and the influence of treatment on the prognosis were retrospectively analysed. Results: Among the conditions associated with SAP, incidence of cholelithiasis was higher in aged group than in younger group (Ｐ< 0.05). The incidence of concurrent diseases, morbidity, and mortality in aged group were signifcantly higher than those in younger group (Ｐ<0.05, Ｐ<0.01); The morbidity, mortality and mean hospitalization days in aged patients with operative treatment were markedly higher than those in the non-operative aged patients (Ｐ<0.05). Conclusion: The high incidence of concurrent diseases and complications is the main clinical characteristic of SAP in aged patients. Treatment for the concurrent diseases and complications is the key measure to reduce the mortality. Early non-operation is necessary for SAP, except for the original biliary obstruction in the elderly.
出处
《重庆医科大学学报》
CAS
CSCD
2001年第2期163-165,共3页
Journal of Chongqing Medical University
