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开胸术后机械通气撤离困难的对策分析 被引量:2

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摘要 目的总结开胸术后呼吸机撤离困难的临床对策。方法12例开胸术后患者发生呼吸机撤离困难,均行气管切开,采用SIMV+PSV模式撤机,实施积极治疗原发病、控制肺部感染、加强营养支持等措施。结果呼吸机使用时间14~54d,平均(26.25±11.97)d。成功撤离呼吸机8例,死亡4例。结论开胸术后呼吸机撤离困难的患者,根据病理生理变化过程,在治疗管理上可人为地分为治疗原发病和诱发因素阶段、好转稳定阶段和呼吸肌锻炼脱机阶段,结合具体病情仔细甄别,不断调整各个阶段的治疗方向和治疗重点,有利于及早脱机并提高撤机的成功率。
出处 《中国急救医学》 CAS CSCD 北大核心 2006年第12期941-942,共2页 Chinese Journal of Critical Care Medicine
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