【摘要】 ６３例急性重症胰腺炎发生ＡＲＤＳ３８例，发生率６０．３％，６０岁以上组发生率高于低年龄组，Ｒａｎｓｏｎ指标≥６项组高于＜６项组，ＡＰＡＣＨＥ－Ⅱ＞２０分组高于≤２０分组，Ｐ值均＜０．０５。３８例均行机械通气治疗，治愈２８例，死亡１０例，死亡率２６．３％，因ＡＲＤＳ直接致死者仅３例，占７．９％。治疗强调早诊断，早呼吸机治疗，早期阻断严重缺氧可能导致的ＭＯＳＦ恶性循环，始能改善预后。更多还原

【Abstract】 This article sums up 1500 cases of central venous catheterization in critical care patients in our hospital from 1992 to 1996. About 1100 cases accepted catheterization through subclavian vein,while others were catheterized from internal cervical vein(370 cases) or femoral vein(30 cases).The purpose of the central venous catheterizations were monitoring of CVP,TPN and central intravenous infusion of some unusual drugs.The complications include stab and wound of arteriae(5.9%) , cupula pleurae(0.4%),and trachea(0. 1%).12 patients had focal inflammationand catheter-correlated septicemia had occured in 9 patients.更多还原