[Adult respiratory distress syndrome as a complication of acute hemorrhagic pancreatitis].

Eighteen patients with acute pancreatitis(AP) were studied prospectively with a clinical analysis of 34 patients with ARDS caused by AHP. Ten of the 18 AP patients had lung damage demonstrated by PaO2 and P (A-a) O2, in which the elevation of the blood and alveolar levels of FFA and PLA also contributed to the pathogenesis of lung damage and ARDS. The 34 ARDS patients could be divided into 3 groups according to the speed with which ARDS developed, i.e. rapid, postoperatively rapid, and delayed occurring. It was also found that the mortality rate of ARDS was closely related to the number of organs involved in AHP. We suggested 8 risk factors of ARDS in AHP cases and discussed the etiology of ARDS, its early diagnosis, prophylaxis, and management.