自己作个记录。
IExport pExport = new ExportPDFClass();
pExport.ExportFileName = "C:\\asd.pdf";
int resolution = 96;
pExport.Resolution = resolution;
IPrintAndExport docPrintExport = new PrintAndExportClass();
docPrintExport.Export(pageLayoutControl.ActiveView, pExport, resolution, false, null);