摘要：目的：探讨老年人重症急性胰腺炎(SAP)的临床特点与治疗对策。方法：回顾性分析我院1993年至2004年间收治的45例≥60岁SAP患者的治疗方法，并发症和死亡率。结果：本组并发症发生率为73.3%，常见并发症为休克(51.1%)、ARDS(40.0%)、肾功能不全(35.1%)，病死率为51.1%。SAP I级患者早期非手术治疗与早期手术治疗的并发症发生率发病为50.0%和84.6%(p<0.05)，病死率分别为25.0%和61.5%(p<0.05)。 结论：老年人SAP并发症发生率及死亡率高，对SAP I级患者应尽量采取早期非手术治疗为主，如确需手术治疗，术中和术后因采用合理的治疗措施，以减少术后并发症，降低手术死亡率。

    关键词： 老年人； 重症急性胰腺炎； 治 疗

    Exploration of Clinical Features and Treatment in the Elderly Patients with Severe Acute Pancreatitis

    SHEN Liang, LIANG Liu-sen, CHEN Xi-wen

    (The First Municipal People’s Hospital of Guangzhou, Guangdong Guangzhou 510180, China)

    Abstract: Objective： To explore the clinical features and treatment for severe acute pancreatitis(SAP) in the aged. Method： The treatment,morbidity and mortality of 45 cases with SAP (whose age were over 60 years old) from 1993 to 2004 were reviewed analysis. Result： The morbility of 45 cases was 73.3%,the most common complications were shock(51.1%),ARDS(40.0%)and renal disfunction(35.1%).The total mortality was 51.1%.Compared with early non-operative treatment and early operative treatment for grade I of SAP ,the morbidity were 50.0% and 84.6%(p<0.05),the mortality were 25.0% and 61.5%(p<0.05). Conclusion： The morbidity and mortality in aged patients with SAP are very high.Early non-operative treatment is necessary for patients with grade I of SAP in elderly.If the operation must be performed,rational measure of treatments during and after operation will be benefical to decreation of the postoperative complication and operative mortality. ......