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目的分析39例老年重症急性胰腺炎(SAP)的临床治疗经验,提高老年重症急性胰腺炎的诊疗水平。方法分析我院收治的39例60岁以上SAP患者的临床资料。结果 39例患者中发病原因为胆道疾病的有18例,高脂血症7例,酒精性5例,脂餐6例,原因不明3例。重型Ⅰ级21例,Ⅱ级18例。全组死亡率17.95%。结论对老年重症急性胰腺炎应采取综合治疗措施,以有效地促进康复、减少并发症和降低病死率。
Objective To analyze the clinical experience of 39 elderly patients with severe acute pancreatitis (SAP) and improve the diagnosis and treatment of senile severe acute pancreatitis. Methods The clinical data of 39 patients with SAP over the age of 60 who were admitted to our hospital were analyzed. Results Among the 39 patients, etiological factors included eighteen cases of biliary tract disease, seven cases of hyperlipidemia, five cases of alcoholic etiology, six cases of fatty meal, and three cases of unknown cause. 21 cases of grade Ⅰ and 18 cases of grade Ⅱ. The whole group mortality rate of 17.95%. Conclusion Comprehensive treatment for elderly patients with severe acute pancreatitis should be taken to effectively promote rehabilitation, reduce complications and reduce mortality.