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本文分析38例老年急性胰腺炎病人的临床资料,并与120例非老年患者进行比较.结果提示老年人急性胰腺炎有如下特点:女性发病率明显高于男性;病因以胆石为主;腹痛呈不典型者较多,近一半病人不发热,黄疸发生率明显增高,以致误诊率增加;尿淀粉酶阳性率降低不如血淀粉酶敏感;声像图表现为胰腺回声增强者较多,而回声明显降低,体积明显增大者常为出血坏死型胰腺炎;老年患者并发症也明显增多.但只要诊断及时、处理积极,必要时尽早手术,可降低其病死率.
This article analyzes the clinical data of 38 elderly patients with acute pancreatitis and compared with 120 non-elderly patients.The results suggest that the elderly with acute pancreatitis has the following characteristics: the incidence of women was significantly higher than men; cause of gallstone-based; was abdominal pain was More atypical, nearly half of patients did not fever, jaundice was significantly higher, resulting in increased misdiagnosis; urine amylase positive rate is less sensitive to serum amylase; sonography showed enhanced pancreatic echo more obvious echo Reduce the volume significantly increased who often hemorrhagic necrotizing pancreatitis; elderly patients also significantly increased complications, but as long as the timely diagnosis and treatment of positive, if necessary, as soon as possible surgery to reduce their mortality.