ICU机械通气再插管患者情况分析  

Analysis of reintubation patients in ICU

作　　者：刘晓楣[1] 叶剑鸿[1] 李娟[1] 刘慧恒[1] 

机构地区：[1]厦门大学附属中山医院急诊ICU,福建361004

出　　处：《齐齐哈尔医学院学报》2014年第16期2413-2414,共2页Journal of Qiqihar Medical University

摘　　要：目的了解ICU机械通气患者再插管率及再插管原因。方法分析厦门大学附属中山医院急诊重症监护室(EICU)2011年1月至2013年11月期间住院气管插管机械通气患者,经历一次及以上气管拔管患者。结果本研究再插管发生率22.33%,再插管同患者的基础疾病分类及拔管前的营养状况相关。结论再插管患者预后明显不佳,有较高的死亡率和气管切开率。应尽量避免意外拔管,对高龄患者拔管前应行计划性呼吸肌功能锻炼。Objective To know the rate of reintubation of mechanical ventilation patients in ICU and analysis the possible reason of reintubation .Methods Mechanical ventilation patients were in EICU from Jan 2011 to Nov 2013,who passed once or more intubation .Results Rate of reintubation was 22.33%,reintubation was related with the basis of disease classification and nutritional status before extubation .Conclusions Prognosis of reintubation patients is worse .Reintubation patients had higher mortality rate and tracheotomy rate . We should avoid accidental extubation and inspiratory muscle strength training before extubationis necessary for advanced age patient .

关 键 词：机械通气 再插管 拔管 

分 类 号：R459.7[医药卫生—急诊医学]