液体潴留量与重症急性胰腺炎早期并发ARDS相关性临床分析

探讨48h液体潴留量〉4000ml与重症急性胰腺炎（SAP）早期并发急性呼吸窘迫综合征（ARDS）的临床相关性，为进一步指导11盏床SAP患者早期液体复苏治疗并预防急性肺损伤提供科学依据。回顾性分析我院2012年1月至2014年1月收治的43例SAP患者临床资料，并进行统计学处理。分析结果表明48h液体潴留量〉4000m1与sAP早期并发ARDS呈现出明显的正相关，48h液体潴留量〉4000ml的sAP患者早期并发ARDs的危险性是48h液体潴留量〈4000ml的SAP患者的14．4倍，48h液体潴留量〉4000ml是重症急性胰腺炎早期并发ARDS的高危险因素。对于SAP患者在早期临床治疗过程中应密切注意液体潴留量，通过合理补液可降低sAP并发ARDS的发生率和病死率。

Clinical Analysis of the Correlation between Fluid Retention and Severe Acute Pancreatitis Complicated with ARDS on Early Stage

The goal of this study is to analyse the correlation between plentiful fluid retention （〉4 000ml） and severe acute pancreatitis （SAP） complicated with ARDS on early stage. A retrospective review was conducted of 43 patients with SAP from January 2012 to December 2014. Plentiful fluid retention （〉4 000ml） is a high risky factor for SAP patients to complicate with ARDS, the OR was 14.4 which reflected there was strong intensity of their correlation. Plentiful fluid retention （〉4 000ml） is a risky factor for SAP patients to complicate with ARDS. When the SAP patients were treated, the fluid retention should be taken seriously. In the future, it＇s feasible to reduce the incidence and fatality rate of SAP complicated with ARDS through reasonable fluid infusion in clinical treatment.