出血坏死性胰腺炎合并成人呼吸窘迫综合征的治疗

成人呼吸窘迫综合征（ARDS）是急性出血坏死性胰腺炎（ANP）的常见并发症，其发生率高。本文报道了18例急性出血坏死性胰腺炎病人并发ARDS，其临床表现为进行性呼吸困难，面罩吸氧后缺氧无改善。在治疗过程中，有些患者出现腹腔感染，有的病例并进而发展成ARDS．遂添治疗难度。目前ARDS尚无特效治疗方法，除对原发病采取有效治疗的同时，应积极地建立人工气道和机械通气。腹腔感染患者机械通气时间明显延长。尽可能早地进行静脉高营养在提高疗效上也是很重要的环节。

The Treatement ef ARDS Occurring during Acute Necrotic Pancreatitis

The incidence of ARDS as a complication of acute necrotic pancreatitis is fairly high. Eighteen cases of ARDS occurring during acute necrotic pancreatitis are presetited. The clinical manifestations were progressive dyspnea and hypoxemia which was not itnproved by O2 inhalation through mask. some patients developed abdominal infection which aggravated ARDS and made the treatment more difficult. There is no specific treatment for ARDS availabe. Early tracheal intubation and mechanical ventilation should be emphasized. Abdominal infection significantly prolonged the period of mechanical ventilation. Intravenous hypenalimentation should be instituted as early as possible.