运动神经元病患者8年呼吸机治疗的气道护理

Airway care of a patient with motor neuron disease treated with mechanical ventilation for 8 years

目的报告1例运动神经元病经呼吸机治疗8年的气道管理。方法采用个性化的吸痰方法,通过膨肺技术增加肺的顺应性、呼吸肌功能锻炼预防肺不张等。结果预防了呼吸机相关性肺炎发生。结论长期机械通气的患者,采用膨肺技术和有效的呼吸机治疗、护理措施,可预防肺不张和呼吸机相关性肺炎。

This paper introduces the airway care of a patient with motor neuron disease treated with mechanical ventilation for eight years.The airway care for the patient focused on individualized suctioning,measures to prevent atelectasis such as lung hyperinflation,adjustments of ventilator parameters,regular weaning exercise,as well as measures to prevent ventilator-associated pneumonia such as prevention of aspiration,strict disinfection and isolation,wound care of tracheotomy.The ventilatorassociated pneumonia was effectively prevented.Effective nursing care for patients with long-term mechanical ventilation can prevent atelectasis and ventilator-associated pneumonia.