食管癌患者術后撤機困難一例_West China Medical Journal

Authors：

胡志 ,  金曉東 , 胡成功

Corresponding?author：

金曉東, Email: 11198761@qq.com

Keywords：

食管癌; 機械通氣; 困難撤機; 無創通氣

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目的　總結1例食管癌術后機械通氣患者的撤機經驗和體會。方法　對2011年8月8日收入ICU的1例食管癌術后機械通氣患者予以抗感染、營養支持、有創無創序貫通氣、肺康復等支持治療的資料進行回顧性分析。結果　經治療，該患者成功撤離機械通氣，病情逐漸穩定，從經面罩吸氧逐漸過渡到鼻導管吸氧，轉出ICU。結論　對食管癌手術后撤機困難的患者，不僅要防治術后肺部并發癥，還應關注手術方式對肺功能的影響，有創無創序貫通氣撤機策略和早期肺康復治療對提高撤機成功率和促進肺功能的恢復具有重要意義。

Citation： 胡志,金曉東,胡成功. 食管癌患者術后撤機困難一例. West China Medical Journal, 2012, 27(6): 913-914. doi: Copy

1.	詹慶元, 羅祖金, 童朝輝. 長期呼吸機依賴患者成功脫機一例體會[J]. 中華醫學雜志, 2006, 86(31): 2221-2223.
2.	陳萬生, 劉艷慧, 南茹. 食管癌術后的呼吸功能[J]. 中華胸心外科雜志, 2007, 23(5): 317-319.
3.	Dean Hess. Ventilator modes used in weaning[J]. Chest, 2001, 120(6): 474-476.
4.	Wilson AM, Gray DM, Thomas JG. Increases in endotracheal tube resistance are unpredictable relative to duration of intubation[J]. Chest, 2009, 136(4): 1006-1013.
5.	Samir J, Pierre M, Gerald C. Role of non-invasive ventilation (NIV) in the perioperative period[J]. Best Pract Res Clin Anaesthesiol, 2010, 24(2): 253-265.
6.	Chiumello D, Chevallard G, Gregoretti C. Non-invasive ventilation in postoperative patients: a systematic review[J]. Intensive Care Med, 2011, 37(6): 918-929.
7.	Kathy S. Towards physiotherapy in intensive care an evidence-based practice[J]. Chest, 2000, 118(6): 1801-1813.

1. 　詹慶元, 羅祖金, 童朝輝. 長期呼吸機依賴患者成功脫機一例體會[J]. 中華醫學雜志, 2006, 86(31): 2221-2223.
2. 　陳萬生, 劉艷慧, 南茹. 食管癌術后的呼吸功能[J]. 中華胸心外科雜志, 2007, 23(5): 317-319.
3. 　Dean Hess. Ventilator modes used in weaning[J]. Chest, 2001, 120(6): 474-476.
4. 　Wilson AM, Gray DM, Thomas JG. Increases in endotracheal tube resistance are unpredictable relative to duration of intubation[J]. Chest, 2009, 136(4): 1006-1013.
5. 　Samir J, Pierre M, Gerald C. Role of non-invasive ventilation (NIV) in the perioperative period[J]. Best Pract Res Clin Anaesthesiol, 2010, 24(2): 253-265.
6. 　Chiumello D, Chevallard G, Gregoretti C. Non-invasive ventilation in postoperative patients: a systematic review[J]. Intensive Care Med, 2011, 37(6): 918-929.
7. 　Kathy S. Towards physiotherapy in intensive care an evidence-based practice[J]. Chest, 2000, 118(6): 1801-1813.

West China Medical Journal

食管癌患者術后撤機困難一例

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