Elderly patients with acute gallstone pancreatitis analysis of 48 cases.docVIP

 PAGE \* MERGEFORMAT 5 Elderly patients with acute gallstone pancreatitis analysis of 48 cases Author: Chen Zhijun, Lu Guang-yan, Zhou to celebrate the [Abstract] Objective To summarize the analysis of elderly patients with acute gallstone pancreatitis in the clinical characteristics and treatment experience. Methods 48 cases of elderly patients with acute gallstone pancreatitis, analysis of their clinical symptoms, B Chao, CT and other inspections. The results of elderly patients with acute gallstone pancreatitis clinical symptoms not typical, easily misdiagnosed, biliary disease is the main reason. Conclusion In non-surgical treatment while strengthening monitoring, master surgical indications and timing of surgery is to improve the cure rate and the elderly gallstone pancreatitis an important measure to reduce mortality. [Keywords:] Aged; acute gallstone pancreatitis Elderly patients with acute gallstone pancreatitis can cause multi-organ system injury, more complications, the prognosis is poor, high fatality rate. This paper analyzes our hospital from January 2001 -2009 year in May of 48 cases admitted to the clinical data of elderly patients with acute gallstone pancreatitis in the clinical characteristics and treatment experiences. A clinical data 1.1 General information on 48 patients in this group, of which 28 males and 20 female; aged 60 to 81 years, with an average 65.8 years of age. These patients showed different degrees of upper abdominal pain, vomiting, and may be accompanied by fever, jaundice in 4 cases. Underwent B-mode ultrasound found to have gallbladder stones or bile duct stones in 36 cases, 3 cases of biliary ascariasis, cholangitis in 5 cases of unknown causes in 4 cases. 35 patients underwent CT examination, which found 32 cases of gallbladder or bile duct stones. Tip 43 cases of acute edematous pancreatitis, hemorrhagic necrotizing pancreatitis in 5 cases. 1.2 treatment of 18 patients after 24 ~ 72h of non-surgical treatment of A