论文部分内容阅读
急性呼吸窘迫综合征(ARDS)是急性胰腺炎(AP)常见而严重的併发症之一。70年代前,由于人们对ARDS的认识不足,把AP致死的主要原因归属于休克。70年代后,随着ARDS研究的深入,血气分析仪的广泛应用,发现AP死亡者65％以上与ARDS有关。AP併发的ARDS在病理和临床方面和其它原因引起的ARDS相似:如肺顺应性降低,肺间质和肺泡间水肿,毛细血管扩张、充血,肺泡内出血,肺血管内白细胞聚集、微血栓形成,后期透明膜形成、肺细胞和间质纤维增生。临床表现为进行性呼吸困难和难于纠正的缺氧。由于胰腺是具有内
Acute respiratory distress syndrome (ARDS) is one of the most common and serious complications of acute pancreatitis (AP). 70 years ago, due to lack of understanding of ARDS, the main cause of AP death attributed to shock. After the 1970s, with the extensive research of ARDS and the extensive application of blood gas analyzer, it was found that more than 65% of AP deaths were related to ARDS. AP concurrent ARDS is pathologically and clinically similar to ARDS caused by other causes such as reduced lung compliance, interstitial and alveolar edema, telangiectasia, hyperemia, alveolar hemorrhage, pulmonary intravascular leukocyte aggregation, and microthrombus formation , Late transparent membrane formation, pulmonary cells and interstitial fibrosis. Clinical manifestations of progressive dyspnea and difficult to correct hypoxia. Because the pancreas is inside