1例心脏瓣膜病术后患者合并气管软化症致延迟撤机的护理  

A case study on caring of a post-operational patient with valvular heart disease and prolonged weaning due to tracheomalacia

作　　者：金佳敏 俞超[1] 高春华[1] 戚智洋 周利 崔冬冬 JIN Jiamin;YU Chao;GAO Chunhua;QI Zhiyang;ZHOU Li;CUI Dongdong

机构地区：[1]浙江大学医学院附属第一医院护理部,杭州市310003

出　　处：《中华护理杂志》2023年第23期2852-2855,共4页Chinese Journal of Nursing

摘　　要：总结1例心脏瓣膜病术后患者合并气管软化症致呼吸机延迟撤机的护理。护理要点:实时监测出血和凝血,动态实施抗凝方案;加强气道管理,早期预警并处理气道塌陷;多维度联合诊治,加快康复进程;实时评估,序贯式管理镇静镇痛和营养计划。经过27 d的精心治疗与护理,患者成功撤机并转出ICU,5 d后康复出院。To summarize the nursing experience of a post-operational patient with valvular heart disease and prolonged weaning due to tracheomalacia.Key points of nursing include real-time monitoring of bleeding and coagulation,dynamic implementation of anticoagulation programs;strengthening airway management,early warning and treatment of airway collapse;multi-dimensional joint diagnosis and treatment to speed up the rehabilitation process;real-time assessment,sequential management of sedation,analgesia and nutrition programs.After 27 days of careful treatment and nursing,the patient was weaned from a ventilator successfully and transferred to another department,and was discharged after 5 days.

关 键 词：气管软化 延迟撤机 康复护理 衰弱 

分 类 号：R473.6[医药卫生—护理学]