摘要
目的:探讨急性重症胰腺炎(SAP)治疗过程中并发急性呼吸窘迫综合征(ARDS)的护理方法。方法对76例SAP并发ARDS患者的临床资料进行回顾性分析。结果增强CT检查发现胰周积液69例,胰腺坏死26例,出现局部并发症15例(假性囊肿9例、胰尾脓肿6例)。76例SAP中,痊愈53例,明显好转18例,好转4例,死亡1例。结论对SAP并发ARDS患者,应尽早查明原因和机制,早期诊断、早期治疗及早期精心护理是降低其病死率的关键。
Objective To Explore the Nursing methods during the treatment process of Severe Acute Pancreatitis （SAP） concurrent Acute Respiratory Distress Syndrome（ARDS）. Method 76 cases of the clinical data of SAP concurrent ARDS patients were retrospectively analyzed. Results Enhance CT findings enlarged peripancreatic effusion 69 cases , pancreatic necrosis 25 cases, appear local complications 15 cases （ Pancreas pseudocyst 9 cases, pancreatic tail abscess 6 cases）. 76 cases of SAP, heal improved significantly in 53, 18 cases, improving 4 cases, death in one. Conclusion To SAP concurrent ARDS patients, should investigate the cause and mechanism as soon as possible, early diagnosis and early treatment and early careful nursing is the key to reducing its fatality rate.
关键词
急性重症胰腺炎
急性呼吸窘迫综合征
护理
Severe acute panereatitis（ SAP ）
Acute respiratory distress syndrome （ AR DS ）
Nursing
