急性重症胰腺炎是一种多脏器损害的全身性疾病。除胰腺病变外,还可波及心肺等重要器官。例1 51岁,女性,因上腹疼痛伴心前区不适,诊为“心内膜下心肌梗塞”而入院。查体:T37.4℃,BP 116/72mmHg,HR68次/分,无杂音。巩膜无黄染。双肺(一)。左上腹压痛,无反跳痛,肝脾未触及。ECG示窦性节律,Tv_(1-5)显著倒置。WBC21,300/mm~3(N92%),RBC437万/mm~3,Hb13.1g%,ESR17mm/h。血、尿淀粉酶均为128单位(正常值0～64温斯罗 Acute severe pancreatitis is a systemic disease characterized by multiple organ damage. In addition to pancreatic lesions, but also spread to vital organs such as heart and lungs. Example 1 A 51-year-old woman, admitted to hospital with a diagnosis of “subendocardial myocardial infarction” due to abdominal pain with precordial discomfort. Physical examination: T37.4 ℃, BP 116 / 72mmHg, HR68 times / min, no noise. Sclera without yellow dye. Double lungs (a). Left upper quadrant tenderness, no rebound pain, liver and spleen not touched. ECG showed sinus rhythm, Tv_ (1-5) significantly inverted. WBC21,300 / mm ~ 3 (N92%), RBC437 million / mm ~ 3, HB13.1g%, ESR17mm / h. Blood, urine amylase are 128 units (normal 0 ~ 64 Winslow