本文报道了急性出血环死性胰腺炎合并ARDS30例,并应用中西医结合及内、外科配合的综合治疗方法,提高了抢救成功率,降低了病死率。30例中经治疗痊愈24例(占80％),死亡6例,其中死于ARDS者2例(占6.7％),其他4例中1例死于心脏骤停,2例死于多脏器衰竭,1例因胰腺巨大囊肿继发感染于病程第七周死亡,总死亡率20％,本文还就ARDS的早期诊断等有关问题进行了讨论。 This article reports 30 cases of ARDS complicated by acute hemorrhagic ring necrosis pancreatitis and applies integrated traditional and western medicine combined with internal and external surgical treatment to improve the success rate of rescue and reduce the case fatality rate. Of 30 cases, 24 cases were cured (80%) and 6 died, of whom 2 died of ARDS (6.7%), 1 died of cardiac arrest in 4 cases and 2 died of multiple organ diseases Failure, 1 case of secondary pancreatic cyst infection secondary to the seventh week of death, the total mortality rate of 20%, this article also ARDS early diagnosis and other related issues were discussed.