【摘要】 目的提高对结核性毁损肺行全肺切除患者的围手术期ICU的治疗水平。方法对结核性毁损肺28例患者,于手术后住ICU监测治疗:动态监测生命体征、出血情况、肺功能、血气分析;治疗合并疾病;纤维支气管镜吸痰;应用呼吸机进行无创或有创机械通气,治疗急性呼吸衰竭。结果20例患者经过ICU加强诊疗,术后顺利恢复;8例患者出现急性呼吸衰竭,经过无创及有创呼吸机机械通气治疗后好转;2例合并胸腔感染、支气管残端瘘患者,其中1例死亡。结论结核性毁损肺胸膜全肺切除手术后病人的围手术期诊疗中,在动态监测病情、防治手术后应激反应、治疗手术后急性呼吸衰竭等方面ICU有明显优势。更多还原

【Abstract】 Objective To improve the treatment for the destroyed lung pleuropneumonectomy postoperative patients in ICU.Methods 28 patients who suffered the destroyed lung by pulmonary tuberculosis have been selected to acceptthe surgical treatment,pleuropneumonectomy.All of themhave acceptedtheintensive caretreat-ment after operationincludingcontinuous monitoring patient’slife signs,the bleedingamount,thefunctionof the lung,the blood gas analysis;treating the complicated diseases;getting rid of sputum by bronchofibroscope;treatingthe acute respiratory failure by using ventilator.Results Through the treatment in ICU,20 patients smoothlyrecovered.8 patients complicated withthe acute respiratory failure accepted the ventilator,NPPV,or PSV+PEEPventilation,andrecovered.2 patients complicated withinfectionandfistulae of bronchial stump,a-mong whomone patient died.Conclusions Duringthe postoperative treatment for patients who accept pleurop-neumonectomy,ICUdepartment plays animportant role in continuous monitoring andtreatment,reducingstress,treating acute respiratoryfailure.更多还原