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| 重症急性胰腺炎并发ALI/ARDS24例临床分析 | |
| 引用本文： | 昝建宝,张亚铭. 重症急性胰腺炎并发ALI/ARDS24例临床分析[J]. 肝胆外科杂志, 2001, 9(6): 449-450 |
| 作者姓名： | 昝建宝 张亚铭 |
| 作者单位： | 安徽省安庆市立医院普外科 |
| 摘 要： | 目的：探讨重症急性胰腺炎并发急性肺损伤（ALI）／急性呼吸窘迫综合征（APDS）的证断与治疗。方法：回顾性分析本院1997年1月至2000年12月收治的28例重症急性胰腺炎中并发的24例ALI／ARDS患者。结果：重症急性胰腺并发ALI／ARDS的发病率高达85．7％，20例为ALI，4例为ARDS，均治愈。结论：在重症急性胰腺炎的急性反应期，应反复测定血气分析，不应拘泥于动脉氧分压数值，当氧合指数（PaO2/FiO2）≤300mmHg，可早期证断出ALI，经积极处理，可避免向ARDS转化。 |
| 关 键 词： | 重症急性胰腺炎 并发症 急性呼吸窘迫综合症 急性肺损伤 临床分析 |
| 文章编号： | 1006-4761(2001)06-0449-02 |
| 修稿时间： | 2001-09-20 |
DIAGNOSIS AND TREATMENT OF ALI/ARDS COMPLICATED BY SEVERE ACUTE PANCR EATITIS |
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| Zan Jianbao,Zhang Yaming. DIAGNOSIS AND TREATMENT OF ALI/ARDS COMPLICATED BY SEVERE ACUTE PANCR EATITIS[J]. Journal of Hepatobiliary Surgery, 2001, 9(6): 449-450 | |
| Authors: | Zan Jianbao Zhang Yaming |
| Affiliation: | Zan Jianbao,Zhang Yaming . Department of General Surgery,Anqing,Municipal Hospital,Anqing,246003 |
| Abstract: | Objective To explore the diagnosis and treatment of ALI/ARDS complicated by severe acute pancreatitis(SAP).Methods Retrospectioely analyzed 24 cases with ALI/ARDS in the group of cases with SAP form Jan,1997 to Sep,2000 in our hospital.Results The incidence of ALI/ARDS complicated by SAp is 85.7 per cent,that contain 20 cases with ALI and 4 cases with ARDS.All patients recovered.Conclusion We must assay blood gas repeatedly during acute response period of SAP.Rigidly adhere to P aO 2 is not proper.ALI can be diagnosed early when oxygenate index(P aO 2)is below or equal to 300 mmHg.To avoid ALI developing into ARDS,it shoud be treated positively. |
| Keywords: | Severe acute pancreatitis Complication Acute respiratory distress syndrome Acute lung injury Diagnosis Treament |
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