1临床资料患者,男,50岁,无明显诱因出现全腹持续性胀痛,无放射痛,伴腹胀、恶心、呕吐胃内容物,非咖啡样,无发热、畏寒,无腹泻,无返酸、嗳气,无尿频、尿急、尿痛,无身目黄染,于当地医院就诊,查血淀粉酶2 000 U·L-1。予禁食、抑酸、止痛、补液等治疗后症状无好转,出现呼吸急促,血氧低。2013年2月18日以“急性重症胰腺炎”转入ICU治疗。转入后予禁食、抑酸、抑酶、止痛及抗感染等对症治疗, 1 clinical data, male, 50 years old, no obvious incentive to have persistent abdominal pain, no radiating pain, with bloating, nausea, vomiting stomach contents, non-coffee-like, no fever, chills, no diarrhea, no return Acid, belching, no urinary frequency, urgency, dysuria, no identity yellow dye, at the local hospital for blood amylase 2 000 U · L-1. To fasting, acid suppression, pain, rehydration and other symptoms did not improve after treatment, there shortness of breath, low blood oxygen. February 18, 2013 to “acute severe pancreatitis” into the ICU treatment. After the transfer to fasting, acid suppression, inhibition of enzymes, pain and anti-infective symptomatic treatment,