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

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%(p0.05),the mortality were 25.0% and 61.5%(p0.05).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.