[Severe acute pancreatitis and ARDS].

A survey was done in 28 cases of severe acute pancreatitis with main interest on their respiratory appearance. It was noticed that at the early stage of the disease process the patients did develop some degree respiratory disorders but they were mild in severity. Only after successful resuscitation of septic shock and its accompanying diffuse body tissue injury, then followed severe clinical respiratory failure symptom which is now known as acute respiratory distress syndrome (ARDS). ARDS in this disease usually had two phases, one immediately after the early resuscitation, which was usually 2-3 days after the disease and followed by a period of recovery of respiratory syndrome and the second ARDS phase with fulminante clinical respiratory failure usually developed 10-14 days after the disease. The reburning phase of ARDS, was clinically very serious and went together with pulmonary infections in all cases. A discussion was made in this retrospective study about all the clinical findings, the risk factors and their reasonable treatments.