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目的总结诊治老年人急性胰腺炎的临床经验,以提高对老年人急性胰腺炎的认识和重视。方法回顾性分析近5年来收治的急性胰腺炎中118例60岁以上患者的临床资料。结果老年人急性胰腺炎病例118例,占同期急性胰腺炎住院患者的30.2%。其中轻症77例,重症41例,重症占35%。有慢性胆囊炎、胆囊结石92例,胆源性胰腺炎占78%。重症急性胰腺炎病死率3.4%。轻型急性胰腺炎平均住院天数(10±3)d,重症急性胰腺炎平均住院天数(25±5)d。结论老年人急性胰腺炎是老年人急腹症的重要原因之一,其治疗以内科非手术综合治疗为主。
Objective To summarize the clinical experience in the diagnosis and treatment of acute pancreatitis in the elderly in order to improve the awareness and attention of the elderly with acute pancreatitis. Methods The clinical data of 118 patients over 60 years of age in acute pancreatitis admitted in the recent 5 years were retrospectively analyzed. Results 118 cases of acute pancreatitis in the elderly, accounting for 30.2% of hospitalized patients with acute pancreatitis over the same period. Among them, 77 were mild, 41 were severe, and 35% were severe. There are chronic cholecystitis, gallbladder stones in 92 cases, biliary pancreatitis accounted for 78%. Severe acute pancreatitis mortality was 3.4%. The average duration of hospital stay in mild acute pancreatitis was (10 ± 3) d, and the average length of hospital stay in severe acute pancreatitis was (25 ± 5) days. Conclusion Acute pancreatitis in the elderly is one of the most important causes of acute abdomen in the elderly. The treatment is mainly non-surgical comprehensive treatment.