肺濃瘍與成人呼吸窘迫症候群均爲肺炎的併發症之一，肺濃瘍爲肺癰發展過程中的肺濃瘍期；成人呼吸窘迫症候群爲廣泛性肺炎造成動脈血液氧氣分壓下降及二氧化碳分壓升高所致，兩者均屬邪熱入營分階段。濃瘍期治療以清熱解毒合化瘀消癰爲主，成人呼吸窘迫症候群治療以清熱解毒合宣肺利水爲主。本文以兩個肺炎中西醫結合治療的病案加以分析與討論。

Lung abscess and adult respiratory distress syndrome (ARDS) are a complication of pneumonia. Lung abscess is an abscess period in pulmonary carbuncle processing and ARDS caused by artery blood gas of P02 mmHg level decreased and elevated level of PCO2 mmHg resulted from broad pneumonia. Both are belonging to the stage of evil heat invaded construction aspect. The principles treatment of lung abscess are clearing heat and resolving toxin as well as transforming stasis and dispersing carbuncle. Clearing heat and resolving toxin as well as diffusion lung and disinhibiting water are the principles treatment of ARDS. The both of pneumonia cases via integrated treatment of Chinese and Western Medicine are present discussion.