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本文就急性胰腺炎并发成人呼吸窘迫综合征12例,进行了临床分析和讨论。分析表明,ARDS常在急性胰腺炎发病后早期出现。1—2天内均出现呼吸系症状,连续血气监测2日内出现低氧血症,认为动脉血气连续监测对早期诊断 ARDS 有重要意义。在治疗上机械通气方式 SEMV+PEEP 效果要比 CMV+PEEP 好。认为控制原发病,充分清除引流毒性物质,减少并发症,是预防和提高 ARDS 治愈率的关键一环。
In this paper, 12 cases of acute pancreatitis complicated with adult respiratory distress syndrome, clinical analysis and discussion. Analysis shows that, ARDS often appear early after the onset of acute pancreatitis. Respiratory symptoms occurred within 1-2 days. Hypoxemia occurred within 2 days of continuous blood gas monitoring. Continuous arterial blood gas monitoring was of great significance for the early diagnosis of ARDS. In the treatment of mechanical ventilation SEMV + PEEP better than CMV + PEEP. That the control of the primary disease, the full removal of drainage of toxic substances, reduce complications, is to prevent and improve the cure rate of ARDS key.