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目的:探讨高原地区重症急性胰腺炎发生急性呼吸窘迫综合征的影响因素。方法:分析2000年1月—2010年1月收治162例重症急性胰腺炎(SAP)中31例合并急性呼吸窘迫综合征(ARDS)病人临床资料。结果:31例出现ARDS病人中SAP发病后存在低氧血症32例(100%)。而存在腹腔内高压症20例(64.51%)。存在胸腔积液15例(48.39%)。结论:高原地区SAP的低氧血症、腹腔内高压症及胸腔积液易成为ARDS的高危因素。
Objective: To investigate the influential factors of acute respiratory distress syndrome in severe acute pancreatitis in the plateau area. Methods: The clinical data of 31 patients with acute respiratory distress syndrome (ARDS) from 162 patients with severe acute pancreatitis (SAP) admitted from January 2000 to January 2010 were analyzed. Results: There were 32 cases (100%) of hypoxemia after SAP onset in 31 ARDS patients. There are 20 cases of intra-abdominal hypertension (64.51%). Pleural effusion in 15 cases (48.39%). CONCLUSIONS: Hypoxemia, intra-abdominal hypertension and pleural effusion in SAP in highland are likely to be risk factors for ARDS.