文章摘要
何毅军,朱艳红,陈静瑜,吴 波,郑明峰,张 稷.呼吸机依赖受体肺移植术后撤机策略探讨(附6例报告)[J].南京医科大学学报,2007,(11):1281~1283
呼吸机依赖受体肺移植术后撤机策略探讨(附6例报告)
Strategies of ventilator dependent recipients weaning from the ventilator after lung transplant (six cases of report)
投稿时间:2007-06-06  
DOI:10.7655
中文关键词: 终末期肺病  肺移植  机械通气
英文关键词: end-stage lung disease, lung transplantation, mechanical ventilation
基金项目:卫生部科技发展基金重大课题资助(WKJ2004-2-008)
作者单位
何毅军 无锡市第五人民医院肺移植中心江苏 无锡 214073 
朱艳红  
陈静瑜  
吴 波  
郑明峰  
张 稷  
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中文摘要:
       目的:探讨呼吸机依赖的终末期肺病受体肺移植术后机械通气撤离的条件、时机、技术方案。方法:通过回顾2002年9月~2006年6月间共6例呼吸机依赖受体的临床资料,并结合有关文献进行分析。结果:6例呼吸机依赖受体肺移植术后平均13.5天成功撤机,术后随访时间1~4年,平均生存期(21.33 ± 3.48)个月。结论:控制感染、气道管理、强化营养、前列腺素E1应用、呼吸肌锻炼、序贯通气、心理护理等是提高撤机成功率的重要保证。
英文摘要:
      Objective:To estimate the qualification, time, and technique of ventilator dependent patients weaning from the ventilation with the end-stage lung disease after lung transplant. Methods:A retrospective review of patient records and computerized database was performed. From September 2002 to June 2006, there were 6 cases of ventilator dependent recipients received lung transplant. Results:The 6 patiemts were weaned from the ventilator successfully in average 13.5d after lung transplatation. The follow-up time after operation was 1~4 years. The average life span was(21.33 ± 3.48)month. Conclusion:The infection control,airway management, nutrition support, PGE1 utilizing, respiratory muscles exercise, and mental nursing are the important issue for weaning from the ventilator.
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