摘要
目的:探讨呼吸机依赖的终末期肺病受体肺移植术后机械通气撤离的条件、时机、技术方案。方法:通过回顾2002年9月~2006年6月间共6例呼吸机依赖受体的临床资料,并结合有关文献进行分析。结果:6例呼吸机依赖受体肺移植术后平均13.5天成功撤机,术后随访时间1 ̄4年,平均生存期(21.33±3.48)个月。结论:控制感染、气道管理、强化营养、前列腺素E1应用、呼吸肌锻炼、序贯通气、心理护理等是提高撤机成功率的重要保证。
Objective:To estimate the qualification, time, and technique of ventilator dependent patients weaning from the ventilation with the end-stage lung disease after lung transplant. Methods:A retrospective review of patient records and computerized database was performed. From September 2002 to June 2006, there were 6 cases of ventilator dependent recipients received lung transplant. Results:The 6 patiemts were weaned from the ventilator successfully in average 13.5d after lung transplatation. The follow-up time after operation was 1--4 years. The average life span was (21.33± 3.48)month. Conclusion:The infection control,airway management, nutrition support, PCE1 utilizing, respiratory muscles exercise, and mental nursing are the important issue for weaning from the ventilator.
出处
《南京医科大学学报(自然科学版)》
CAS
CSCD
北大核心
2007年第11期1281-1283,共3页
Journal of Nanjing Medical University(Natural Sciences)
基金
卫生部科技发展基金重大课题资助(WKJ2004-2-008)
关键词
终末期肺病
肺移植
机械通气
end-stage lung disease, lung transplantation, mechanical ventilation