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)

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。

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, PCE1 utilizing, respiratory muscles exercise, and mental nursing are the important issue for weaning from the ventilator.