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目的:探讨老年急性胰腺炎(AP)的临床特点及治疗。方法:回顾性分析5年间住院的老年AP患者146例(老年组,年龄≥60岁)临床资料,并与同期住院的非老年AP患者150例(对照组,年龄<60岁)进行比较。结果:146例老年AP误诊27例,误诊率18.5%;老年组SAP发生率明显高于对照组;老年组非手术治疗治愈129例,死亡5例,手术治疗12例,死亡5例,死亡率明显高于对照组。结论:老年AP患者合并基础疾病多、临床表现不典型、并发症重,治疗以非手术治疗为主,要严格把握手术指征、时机和方式。
Objective: To investigate the clinical features and treatment of senile acute pancreatitis (AP). Methods: The clinical data of 146 elderly AP patients (aged group, ≥60 years old) hospitalized in 5 years were retrospectively analyzed and compared with 150 non-elderly AP patients hospitalized in the same period (control group, age <60 years). Results: The misdiagnosis rate of 146 elderly AP patients was 27.5%, the incidence of misdiagnosis was significantly higher in the elderly group than in the control group. In the elderly group, 129 cases were non-operatively cured, 5 died, 12 were treated surgically, 5 died. The mortality rate Obviously higher than the control group. Conclusion: The elderly AP patients with multiple underlying diseases, clinical manifestations atypical, severe complications, the treatment of non-surgical treatment should be based on the strict indication of the operation, timing and manner.