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目的研究老年急性坏死性胰腺炎的临床特点及预后。方法回顾性分析 40例老年与 62例中、青年急性坏死性胰腺炎患者的临床资料。结果老年急性坏死性胰腺炎的伴发疾病多 ;腹部症状及体征不典型。老年组的病死率明显高于中、青年组 ;血糖、血尿素氮、外周血白细胞计数升高与血钙降低的患者 ,其病死率明显升高 ;手术治疗并不能降低老年急性坏死性胰腺炎的病死率。结论加强对老年急性坏死性胰腺炎的临床及实验室检查结果的监测 ,选择合适的治疗方法是相当重要的
Objective To study the clinical features and prognosis of elderly patients with acute necrotizing pancreatitis. Methods The clinical data of 40 elderly patients and 62 middle-aged and young patients with acute necrotizing pancreatitis were retrospectively analyzed. Results elderly patients with acute necrotizing pancreatitis associated with more; abdominal symptoms and signs of atypical. In the elderly group, the case fatality rate was significantly higher than that in the middle-aged and young patients. The blood fat, blood urea nitrogen, elevated peripheral white blood cell count and serum calcium were significantly increased. Surgical treatment did not reduce the incidence of acute necrotizing pancreatitis Fatality rate. Conclusion To strengthen the monitoring of the clinical and laboratory results of acute necrotizing pancreatitis in the elderly, it is very important to choose the appropriate treatment method