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目的探讨急性呼吸窘迫综合征(ARDS)在重症急性胰腺炎(SAP)治疗过程中的临床意义。方法回顾性分析2003年7月至2006年7月收治的76例SAP患者的临床特点、病程演变趋势和治疗效果,其中29例合并ARDS,经有效呼吸支持,病人情况不稳定,脏器功能无好转。及时行外科手术干预治疗。结果76例SAP存活64例,死亡12例,存活率84.21%;SAP病程中合并ARDS29例,存活21例,死亡8例,存活率72.41%,其中手术干预15例,存活10例,死亡5例,存活率66.67%。结论正确认识和处理SAP病程中并发ARDS,合理选择外科干预方式,对于决定SAP预后至关重要。
Objective To investigate the clinical significance of acute respiratory distress syndrome (ARDS) in the treatment of severe acute pancreatitis (SAP). Methods A retrospective analysis of 76 patients with SAP from July 2003 to July 2006 were retrospectively analyzed. The clinical features, course of disease progression and therapeutic effect were retrospectively analyzed. Among 29 patients with ARDS, ARDS were complicated with effective respiratory support, unstable patients, Better. Timely surgical interventions. Results Survival rate was 84.21% in 76 SAP patients and 12 death patients in SAP group. There were 29 cases complicated with ARDS in SAP course, 21 survived and 8 died, the survival rate was 72.41%. Among them, 15 cases were survived, 10 survived and 5 died , The survival rate of 66.67%. Conclusions Correct understanding and handling of ARDS complicated with the course of SAP may be of crucial importance in determining the prognosis of SAP.