术前呼吸机依赖患者肺移植术后撤机的护理  

Nursing care of preoperative ventilator-dependent patients undergoing discontinuing mechanical ventilation after lung transplantation

作　　者：朱雪芬[1] 过晓伟[1] 许继伟[1] 

机构地区：[1]江苏省无锡市人民医院肺移植中心,214023

出　　处：《中华护理杂志》2009年第12期1079-1081,共3页Chinese Journal of Nursing

基　　金：国家卫生部科技发展基金重大课题资助项目子项目(编号:WKJ2004-2-008)

摘　　要：目的探讨术前呼吸机依赖患者肺移植术后机械通气撤离的护理要点。方法回顾2002年9月至2008年12月,我院肺移植中心10例肺移植术前呼吸机依赖患者的临床资料,并结合护理体会进行分析。结果10例术前呼吸机依赖患者肺移植术后撤机时间为7-30d,平均16.5d。结论患者撤机模式的观察、拔管前的准备与护理、加强气道管理、合理营养、心理护理等是提高撤机成功率的重要保证。Objective To explore the nursing strategies for preoperative ventilator-dependent patients undergoing discontinuing mechanical ventilation after lung transplantation. Methods The clinical data and nursing experiences of 10 preoperative ventilator-dependent patients undergoing discontinuing mechanical ventilation after lung transplantation from September 2002 to December 2008 were retrospectively analyzed. Results The time of discontinuing mechanical ventilation ranged from 7 to 30 days and the average time was 16.5 days. Conclusion The key points to ensure the success of discontinuing mechanical ventilation were careful observation of ventilation modes,preparations before discontinuing,airway management,nutritional sup- port and psychological nursing.

关 键 词：肺移植 通气 机械 护理 

分 类 号：R473.6[医药卫生—护理学]