【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。更多还原

【Abstract】 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.更多还原