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１９８５年至今收治因急腹症所致的成人呼吸窘迫综合征（ＡＲＤＳ）１５例，死亡５例，占３３．３％。提出严重的急腹症病人应列为ＡＲＤＳ高危病人，需进行严密的监测。当一般氧疗下仍出现不能用原发病因解释的呼吸困难，ＰａＯ２持续低于８ｋＰａ，ＰａＯ２／ＦｉＯ２＜４０ｋＰａ，并除外其他疾病所致的呼吸衰竭和心源性肺水肿时即可确诊。强调早期诊断及早使用机械通气是救治急腹症ＡＲＤＳ病人的关键。Ｘ线胸片有助于诊断。ＰａＯ２／ＦｉＯ２比值下降或升高可提示病情的恶化或好转。就诊治过程中应注意的问题进行详细分析。
From 1985 to now, 15 cases of adult respiratory distress syndrome (ARDS) due to acute abdomen were treated, and 5 died (33.3%). Patients presenting with severe acute abdomen should be classified as high-risk ARDS patients and require close monitoring. When the general oxygen therapy still appears to be unable to explain the primary cause of dyspnea, PaO2 continued below 8kPa, PaO2 / FiO2 <40kPa, and in addition to other diseases caused by respiratory failure and cardiogenic pulmonary edema can be confirmed. Emphasize the early diagnosis and early use of mechanical ventilation is the key to ARDS patients with acute abdomen. X-ray diagnosis helps. Decreasing or increasing the PaO2 / FiO2 ratio may indicate a worsening or improvement of the disease. On the process of diagnosis and treatment should pay attention to the issue of a detailed analysis.