[Objective]To analyze the clinical characteristics and treatment effect in elderly patients with acute pancreatitis.[Methods]We retrospectively reviewed 185 cases of elderly patients with acute pancreati-tis and 192 non-elderly cases as control w hich treated in our hospital in the recent 10 years.[Results]T he e-tiology of elderly patients with acute pancreatitis was mainly biliary tract disease ,followed by hyperlipi-demia and drinking alcohol.Comparing with the control group ,the elderly patients group had a higher inci-dence of severe pancreatitis(P<0.05).The incidence of systemic complications ,including shock ,infection , multiple organ dysfunction were higher in elderly patients group.The differences between the two groups was significant(P<0.05).The mortality in elderly patients group was 9.7% ,while the mortality rate of non-elderly group was 2.1%.The difference between the two groups was significant (P<0.01).[Conclu-sion]Acute pancreatitis is a common disease in elderly patients ,and also has a high mortality rate.Early clinical diagnosis and treatment can effectively improve the prognosis in elderly patients.%[目的]分析老年急性胰腺炎患者的临床特点及有效的临床诊治措施。[方法]对本院近10年内收治的185例老年急性胰腺炎患者（老年组）的临床资料进行回顾性分析，并与同期192例非老年急性胰腺炎患者（非老年组）的资料进行对比分析。[结果]老年组发生急性胰腺炎的病因主要是胆道疾病，其次是血脂异常及饮酒；与非老年组相比，老年组重症胰腺炎发生率较高（P＜0.05），且全身并发症休克、感染、多器官功能障碍较多（P＜0.05）；老年组发生急性胰腺炎病死率为9.7％，非老年组病死率为2.1％，2组比较差异有统计学意义（ P＜0.01）。[结论]急性胰腺炎是老年患者的常见疾病，也是致死率较高的疾病；临床给予早期诊断治疗，可以有效地改善老年患者的预后。
展开▼
