CAJ | 학술논문

目的：分析老年重症急性胰腺炎的临床特点、治疗方法及转归。方法整群选取该院2009年12月-2012年12月收治的29例老年重症急性胰腺炎患者资料进行回顾性分析，并选择同期非老年重症急性胰腺炎患者30例作为对照组，比较两组病因、症状、并发症、住院时间、预后及转归。结果胆源性因素是老年SAP发病的主要原因，老年组患者临床症状、体征及实验室指标均与对照组差异有统计学意义(P<0.05)。及时诊断，个性化治疗后，老年组总有效率86.21%，死亡4例，两组治疗效果与平均住院时间比较差异无统计学意义(P>0.05)。结论老年SAP早期表现不典型，并不少见，但早期易被误诊，其预后较差，死亡率高，主张内科综合治疗为主。
목적：분석노년중증급성이선염적림상특점、치료방법급전귀。방법정군선취해원2009년12월-2012년12월수치적29례노년중증급성이선염환자자료진행회고성분석，병선택동기비노년중증급성이선염환자30례작위대조조，비교량조병인、증상、병발증、주원시간、예후급전귀。결과담원성인소시노년SAP발병적주요원인，노년조환자림상증상、체정급실험실지표균여대조조차이유통계학의의(P<0.05)。급시진단，개성화치료후，노년조총유효솔86.21%，사망4례，량조치료효과여평균주원시간비교차이무통계학의의(P>0.05)。결론노년SAP조기표현불전형，병불소견，단조기역피오진，기예후교차，사망솔고，주장내과종합치료위주。
Objective Analysis of the clinical features of senile patients with severe acute pancreatitis, treatment and prognosis. Methods The hospital treated from December 2009-December 2012 29 cases of senile patients with severe acute pancreatitis of retrospective analysis, and select the same period non-elderly patients with severe acute pancreatitis in 30 cases in the control group, compared two groups of causes, symptoms, complications, hospital, prognosis and outcome. Results Biliary older SAP the main cause of the disease, senile patients with clinical symptoms, signs, and laboratory indicators have had significant differences with the control group (P<0.05). Timely diagnosis and personalized treatment, elderly group 86.21%, 4 patients died, two groups of treatment effect and no significant difference in average length of stay (P>0.05). Conclusion Older SAP early atypical manifesta-tions, is not uncommon, but prone to misdiagnosis in early, the prognosis is poor, a high mortality rate, advocates of comprehensive treatment.