【摘要】目的 探讨急性呼吸窘迫综合症(ARDS)在重症胰腺炎治疗过程中的临床意义。方法 对43例重症胰腺炎并ARDS的病因、发病机理和相关因素、治疗效果进行回顾性分析，重视原发病的治疗，加强肺保护，是提高预防与治疗效果的重要措施。结果 重症胰腺炎存活43例，重症胰腺炎病程中合并ARDS 19例，无死亡病例，存活率100%。其中手术干预20例。结论 重症胰腺炎在及时处理原发病的基础上，对并发的ARDS进行早期诊断和治疗，正确使用呼吸机，防治并及时处理其它并发症，是降低病死率的有效措施。

    【关键词】重症胰腺炎 呼吸窘迫综合症(ARDS)临床分析 治疗方法

    中图分类号：R576文献标识码：B文章编号：1005-0515(2011)11-119-02

    Experience of treatment on severe pancreatitis complicated with ARDS

    Xu Mei Li Hu Jiang Shukun Peng Yongfen Fan ShaominHuang Kun

    ( Yunnan Richland Hospital, Kunming Yunnan)

    【Abstract】Objective To investigate the clinical significance of acute respiratory distress syndrome(ARDS) in the treatment of severe acute pancreatitis. Methods 43 patients with severe pancreatitis were retrospectively analyzed for their etiology, pathogenesis and treatment. Treatment of primary diseases was emphasized and lung protection was strengthened on these patients. Results Of the 43 patients, all of them survived, the survival rate being 100.00%. 19 patients among 43 patients developed ARDS and all of them survived, the survival rate being 100.00%. Among 20 patients, surgical interventions were carried out. Conclusion On the basis of timely intervention of primary diseases and carefully prevention of other complications, early diagnose and treatment of ARDS with appropriate use of ventilator is an effective measure to improve the survival rate of severe pancreatitis. ......