CAJ | 학술논문

[目的]分析老年急性胰腺炎患者的临床特点及有效的临床诊治措施。[方法]对本院近10年内收治的185例老年急性胰腺炎患者（老年组）的临床资料进行回顾性分析，并与同期192例非老年急性胰腺炎患者（非老年组）的资料进行对比分析。[结果]老年组发生急性胰腺炎的病因主要是胆道疾病，其次是血脂异常及饮酒；与非老年组相比，老年组重症胰腺炎发生率较高（P＜0.05），且全身并发症休克、感染、多器官功能障碍较多（P＜0.05）；老年组发生急性胰腺炎病死率为9.7％，非老年组病死率为2.1％，2组比较差异有统计学意义（ P＜0.01）。[结论]急性胰腺炎是老年患者的常见疾病，也是致死率较高的疾病；临床给予早期诊断治疗，可以有效地改善老年患者的预后。
[목적]분석노년급성이선염환자적림상특점급유효적림상진치조시。[방법]대본원근10년내수치적185례노년급성이선염환자（노년조）적림상자료진행회고성분석，병여동기192례비노년급성이선염환자（비노년조）적자료진행대비분석。[결과]노년조발생급성이선염적병인주요시담도질병，기차시혈지이상급음주；여비노년조상비，노년조중증이선염발생솔교고（P＜0.05），차전신병발증휴극、감염、다기관공능장애교다（P＜0.05）；노년조발생급성이선염병사솔위9.7％，비노년조병사솔위2.1％，2조비교차이유통계학의의（ P＜0.01）。[결론]급성이선염시노년환자적상견질병，야시치사솔교고적질병；림상급여조기진단치료，가이유효지개선노년환자적예후。
[Objective]To analyze the clinical characteristics and treatment effect in elderly patients with acute pancreatitis.[Methods]We retrospectively reviewed 185 cases of elderly patients with acute pancreati-tis and 192 non-elderly cases as control w hich treated in our hospital in the recent 10 years.[Results]T he e-tiology of elderly patients with acute pancreatitis was mainly biliary tract disease ,followed by hyperlipi-demia and drinking alcohol.Comparing with the control group ,the elderly patients group had a higher inci-dence of severe pancreatitis(P<0.05).The incidence of systemic complications ,including shock ,infection , multiple organ dysfunction were higher in elderly patients group.The differences between the two groups was significant(P<0.05).The mortality in elderly patients group was 9.7% ,while the mortality rate of non-elderly group was 2.1%.The difference between the two groups was significant (P<0.01).[Conclu-sion]Acute pancreatitis is a common disease in elderly patients ,and also has a high mortality rate.Early clinical diagnosis and treatment can effectively improve the prognosis in elderly patients.