ICU机械通气患者脱机失败原因分析与护理对策  

Investigation on the reasons of unsuccessful weaning patients receiving mechanical ventilation in intensive care unit with cerebral apoplexy

作　　者：张惠贞 秦桂云 Zhang Huizhen , Qin Guiyun. （ Department of Surgery, Jinxiang 272200, China）

机构地区：金乡县人民医院,山东金乡272200

出　　处：《中国保健》2007年第21期7-8,共2页Chinese Health Care

摘　　要：目的：分析ICU机械通气患者脱机失败的原因，提高脱机成功率。方法：对我院2001年5月-2005年10月ICU收住的84例机械通气患者脱机失败138例次，进行回顾性调查分析。结果：138例次脱机失败中，生理学指标变化82例次（59．4％），原发病恶化34例次（24．6％），通气策略不当22例次（15．9％）。结论：机械通气失败的原因依次为生理性指标变化、原发病恶化和通气策略不当。因此，机械通气患者脱机时应掌握适宜的脱机时间和脱机的模式。Objective：To analyze the reasons unsuccessful weaning receiving mechanical ventilation in intensive care unit（ ICU）, in order to promote the rate of successful weaning. Methods： The information of 69 unsuccessful weaning cases of 42 patients receiving mechanical ventilation in ICU were investigated. Results：The reasons of unsccessful weaning were as follows,the changes of physiological index accounted for 59.4% （82 cases）, deterioration of generated disease 24. 6% （34 cases）, and improper strategy of weaning 15. 9% （22 cases）. Conclusion ： The reasons of unsccessful weaning were changes of physiological index, deterioration of generated disease and improper strategy of weaning, so we shoud hold the proper weaning time and mode in weaning.

关 键 词：机械通气 脱机 护理 

分 类 号：R473.6[医药卫生—护理学;医药卫生—临床医学]