【摘要】 目的 探讨重症急性胰腺炎(SAP)合并ARDS的临床特点和治疗。方法 67例SAP患者，在发病24h内监测动脉血气，进行胸部X线检查。结果 67例SAP患者，并发ARDS 23例(34.33%),PaO2<60mmHg时并发ARDS的比率超过60%，而PaO2<32mmHg时有90%左右会发生ARDS。近50%的患者出现肺部X线胸片检查的异常。结论 SAP患者应进行呼吸功能检测，以便早期发现ARDS病例，采取有效治疗措施，降低死亡率。

    【关键词】 重症急性胰腺炎；急性呼吸窘迫综合征

    Clinical analysis of ARDS induced by severely acute pancreatitis

    HAN Gui-hua，YAN Yu，BAO Xiu-qi.The First Affiliated Hospital of Jiamusi University, Jiamusi 154002, China

    【Abstract】 Objective To study the clinical features and treatment of acute respiratory distress syndrome (ARDS) secondary to severe acute pancreatitis (SAP).Methods A total of 67 patients diagnosed with SAP were enrolled in the study；patients were monitored for study arterial blood gas and chest-X- ray were examined within 24 hours after SAP.Results 23 patients among 67 patients of SAP developed ARDS (34.33%). The percentage of patients who developed ARDS with PaO2<60mmHg was above 60%.While the percentage of patients who developed ARDS with PaO2<32mmHg was about 90%. 50% of SAP patients appeared lung abnormalities by X-ray examination.Conclusion The respiratory function of SAP patients should be carefully observed so that we could find the development of ARDS in early stage. ......