重症急性胰腺炎合并急性呼吸窘迫综合征的临床处理

目的探讨重症急性胰腺炎合并急性呼吸窘迫综合征的临床处理方法。方法监测患者胸片、呼吸频率、动脉血气分析及早给与机械通气。结果存活18例,死亡4例,死因为严重感染、电解质及酸碱平衡紊乱、多器官功能衰竭,存活率81.81%(18/22)。结论控制重症急性胰腺炎炎症介质吸收是防止其合并急性呼吸窘迫综合征的关键环节,及早给与患者重症监护和呼吸功能测定,可以早期诊断处理,降低病死率。

Severe Acute Pancreatitis Clinical Treatment of Acute Respiratory Distress Syndrome

Objeetive To approach the clinical therapeutic measure of acute respiratory distress syndrome （ARDS） supervened severe acute pancreatitis （SAP） . Methods Chest x-ray film, respiratory frequency and arterial blood gas analysis were monitored. Mechanical ventilation were early performed. Results Of 22 patients combined with ARDS, 18 survived, 4 died of severe infection, electrolyte disturbance ,disturbance of acid-base balance and multiple organ failure .the survival rate being 81.81% （18/22） . Conclusion It is key point to control absorbtion mediators of inflammation of SAP. The intensive Care and monitoring respiratory function of SAP patients should be early confered so that we could diagnose the ARDS in earlier period, adopt perfect therapeutic measure and accordingly cut death rate.