Conclusion The ARDS,abdominal abscess,pancreatic fistulas and gastrointestinal fistulas are the main complications of SAP,they should been prevented and treated streesly.

• 结论成人呼吸窘迫综合征（ARDS）、腹腔脓肿、胰瘘和肠瘘为重症急性胰腺炎的主要并发症，死亡率高，应重点防治，积极处理。