老年人急性胰腺炎的临床和CT/MRI成像特征
Xue Ying Zhang1,2, Xing Hui Li1, Jiang Luo1
1Medical Imaging Key Laboratory of Sichuan Province, Department of Radiology, Affiliated Hospital, North Sichuan Medical College, No.1 South Maoyuan Road, Nanchong, Sichuan, 637001, China.
BMC geriatrics
|November 29, 2025
概括
急性胰腺炎 (AP) 在老年人中更为严重. 这一群体出现并发症,器官衰竭和死亡率较高,这表明AP的老年患者的预后更差.
科学领域:
- 老年医学 老年医学
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
背景情况:
- 在老年人群中,急性胰腺炎 (AP) 的发病率正在上升.
- 老年人中的AP通常更严重,死亡率更高.
- 老年AP的临床和成像特征需要进一步调查.
研究的目的:
- 为了研究临床特征,CT/MRI特征和老年人AP的预后.
- 为了进行比较分析,按年龄组分层AP的老年人.
主要方法:
- 收集了449名AP老年人的临床和CT/MRI数据.
- 将患者分为三个年龄组:6574,7584和≥85岁.
- 在不同年龄组中比较临床表现,成像发现和结果.
主要成果:
- 最老的老年人 (≥85岁) 显示出局部并发症的患病率最高,包括急性周胰腺液收集 (APFC).
- 这一组还具有较高的SIRS,BISAP和APACHE-II分数,以及冠心病,器官衰竭 (OF) 和严重胰腺炎 (SAP) 的增加率.
- 死亡率在最老的老年人群中最高,OF,SAP和APFC被确定为死亡的独立风险因素.
结论:
- 老年人群中的年龄分组表现出AP的独特临床和成像特征.
- 最年长的老年人 (≥85岁) 经历了更多的局部并发症,更高的疾病严重程度得分和更糟糕的预后.
- 年龄分层对于了解和管理老年患者的AP至关重要.
相关概念视频
Acute Pancreatitis II: Clinical Manifestations and Management
705
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
705
Chronic Pancreatitis I: Introduction
648
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
648
Chronic Pancreatitis II: Collaborative Care
291
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
291
Acute Pancreatitis I: Introduction
1.1K
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
1.1K
Imaging Studies I: CT and MRI
763
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
763
Imaging Studies III: Computed Tomography
261
DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
261


