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

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.