急性胰腺炎常并发胸部病变。作者观察一组因急性胰腺炎住院的78例患者中,胸片有异常表现者35例(44％),其中呈弥漫型肺病变者6例(8％)。本文就其中10例并发呼吸功能不全、肺水肿或心力衰竭者的X线表现和发病原理加以讨论。胸部X线表现为肺容积缩小和斑片状浸润影提示弥漫局灶性肺不张者2例,呈弥漫性肺泡或间质水肿者8例。其中1例入院时即有肺水肿,余7例于入院后3～6天发生肺水肿。有肺水肿X线表现的患者通常伴有缺氧血症和呼吸功能不全的临床表现。但有2例无相应临床症状,另有1例持续性明显缺氧血症而临床表现为呼吸衰竭者,胸片仅显示轻度基底部肺不张,而无弥漫性肺病变的X线表现。心影增大者8例,其中4例年龄在50岁以下。6 Acute pancreatitis often complicated by chest lesions. The authors looked at a group of 78 patients hospitalized for acute pancreatitis who had abnormal chest radiographs in 35 (44%) and diffuse lung lesions in 6 (8%). This article discusses the X-ray findings and pathogenesis of 10 patients with respiratory insufficiency, pulmonary edema or heart failure. Chest X-ray showed reduced lung volume and patchy infiltration showed focal diffuse atelectasis in 2 cases, diffuse alveolar or interstitial edema in 8 cases. Among them, 1 case had pulmonary edema on admission and 7 cases had pulmonary edema 3 to 6 days after admission. Patients with X-ray findings of pulmonary edema usually have clinical manifestations of hypoxemia and respiratory insufficiency. However, there were 2 cases without corresponding clinical symptoms, another case of persistent obvious hypoxemia and clinical manifestations of respiratory failure, chest radiograph showed only mild basal atelectasis, and no diffuse pulmonary lesions X-ray findings . 8 cases of increased heart shadow, of which 4 were under the age of 50 years. 6