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目的探讨青、老年急性胰腺炎(AP)生化指标、器官损害及预后方面的不同。方法回顾性分析87例老年AP的临床资料,与同期住院的110例青年AP患者比较,分析两组患者生化指标、出现局部、全身并发症和预后情况。结果与青年组AP相比,老年组血尿淀粉酶、血总胆红素、血ALT偏高(P<0.05),易出现肝、肺、心单器官和多器官损害(P<0.05);老年组死亡率(10.34%)和SAP发生率(48.28%)均高于青年组2.72%、32.73%(P<0.05)。结论老年人应积极防治脏器功能损害,避免MODS发生,降低SAP发生率和死亡率。
Objective To investigate the biochemical indexes, organ damage and prognosis of acute and acute pancreatitis (AP) in young and old. Methods The clinical data of 87 elderly AP patients were retrospectively analyzed. Compared with 110 young AP patients hospitalized in the same period, the biochemical indexes of the two groups were analyzed. The local and systemic complications and prognosis were analyzed. Results Compared with young group AP, ALT, blood total bilirubin and blood ALT in the elderly group were higher than those in the young group (P <0.05), and liver, lung, heart, organ and organ damage were more likely to occur (P <0.05) Group mortality (10.34%) and SAP (48.28%) were higher than the youth group 2.72%, 32.73% (P <0.05). Conclusion The elderly should actively prevent organ dysfunction, prevent the occurrence of MODS and reduce the incidence of SAP and mortality.