Diagnosis and treatment of elderly patients with acute pancreatitis.docVIP

 PAGE \* MERGEFORMAT 7 Diagnosis and treatment of elderly patients with acute pancreatitis [Keywords:] diagnosis and treatment of elderly patients with acute pancreatitis Acute pancreatitis (AP) is a common acute abdomen is one of a kind of acute onset, severe illness, complications and high mortality of critical illness, with the elderly and other biliary tract disease and the incidence of hyperlipidemia increase in the incidence of acute pancreatitis in the elderly tended to increase. our hospital from December 2004 ~ October 2008 25 cases of AP patients were treated, treatment satisfaction, are summarized below. 1 Materials and Methods 1.1 General information on 25 cases of illness, male 15, female 10, aged 60 to 76 years, average 66.4 years old. Etiology: biliary disease in 14 cases, 64.0%, dietary factors in 6 cases, 24.0%, surgical factors in one case (common bile duct surgery), accounting for 4.0% of unknown causes in 4 cases, 16.0%. The patients had varying degrees of upper abdominal pain and history, with (or without) nausea, vomiting, and in some cases there fever and peritoneal irritation. this group of patients exist one or more complications, chronic bronchitis, emphysema, 8 cases of hypertension hyperlipidemia in 14 cases, 12 cases of coronary heart disease, diabetes in 6 cases. Diagnostic reference 1996 Studies of the Chinese Medical Association group developed pancreatic lt;lt;acute pancreatitis diagnosis and grading standardsgt;gt; [1] type: severe (SAP) 7 cases of mild (MAP) 18 cases. 1.2 Diagnosis and treatment measures in this group underwent three conventional, serum electrolytes, liver, kidney, blood, urine amylase, lipids, glucose and other tests, and electrocardiogram, chest X films, abdominal B ultrasound or color Doppler ultrasound examination, ultrasound pancreas show poor patients undergoing CT or enhanced CT. The diagnosis given after fasting, water, gastrointestinal decompression, fluid replacement, inhibition of pan