Analysis Of The Clinical Features Of 56 Cases With Senile Acute Pancreatitis

Objective:By studying the second hospital of Shanxi medical university in recent years, patients with acute pancreatitis treated by elderly group and the differences of clinical symptoms between the young and middle-aged patients. According to the characteristics of clinical disease of elderly patients with acute pancreatitis, drafting of elderly patients with acute pancreatitis clinical treatment and diagnosis of the corresponding solutions, improve the level of diagnosis and treatment of senile acute pancreatitis. Methods:Through a retrospective analysis of the second hospital of Shanxi medical university in March 2013, during a July 2015 the hospitalized cases with complete clinical data of 126 patients with AP, in the time of this study collected cases, there were elderly group(60 or higher) in patients with 56 cases of patients with non elderly group(< 60 years old) in 70 cases. Record each patient’s age, length of hospital stay, etiology, clinical manifestation, white blood cells, blood glucose, blood amylase, blood calcium and blood fat, liver and kidney function indicators, and upper abdominal ultrasound and CT/MRI results, complications and bad prognosis, and treatment and disease outcomes, were analyzed. Results:(1)Two groups of men and women than: senile group a total of 56 patients, including 32 cases of male, female 24 cases. Ratio is 1.33 :1, the elderly group and constituent ratio have obvious differences between the non-senile group(P < 0.05).(2)Etiology that show: senile group in the main disease for gallstone disease clinically, 41 cases(73.2%), its senile prevalence is high non-senile group(P < 0.05); non-senile group in patients with pancreatitis patients caused by drinking and a total of 16 cases(22.9%), its high incidence compared to the senile group(P < 0.05).(3)Imaging test results show that: there was no difference between the two groups.(4)Laboratory test results show that: the senile group of patients with urinary amylase found lower rates compared with non-senile group patients(P < 0. 05); Liver function examination indexes related to the discovery of the rate compared with non-senile group is higher, there is difference(P < 0. 05).(5)Clinical aspects of the show: in the senile group its clinical symptoms such as abdominal pain, nausea, vomiting rate less compared with non-senile group(P < 0.05), but the jaundice and ascites symptoms are relatively high incidence of patients with non-senile group(P < 0. 05).(6)Complications result shows: complications in senile group is more, the emergence of infection and MODS probability compared with non-senile group patients, there is a difference(P < 0. 05). senile group in the respiratory function and cardiac function, and so on, compared with non-senile group more complications(P < 0. 05).(7)The senile group deaths 2 cases more than non-elderly group 1 cases,but the difference was not statistically significant.The older group,the number of hospital days Was(14.93+7.28)d,while the non-elderly group was(13.61+7.72),the difference was not statistically significant. Conclusions :The etiology of AP in the elder was quite different with that in the young. Biliary etiology Was the main causes in the aged.The clinical manifestations of elderly acute pancreatitis is non—typical,and the abdominal pain is lighter.The relevance ratio of urine amylase in the senile group was lower than that in non-senile group and the elderly were more easily to suffer hepatic dysfunctions.The elderly were more easily to subject infection,MODS,respiratory and cardiac insufficiency.But in the case fatality rate,the length of hospital stay Was no significant difference.