CAJ | 학술논문

目的探讨心脏瓣膜置换术后如何通过正确的呼吸机治疗和气道管理,提高术后的成功率.方法通过呼吸参数的设置、机械通气期间的监测和呼吸道管理,及时调节呼吸机参数,掌握吸痰及拔除气管插管的时机及撤机后加强术后管理.结果本组术后机械通气时间为4 h至5 d,平均15.6±12.4～15.2 h.呼吸机相关性肺炎(VAP)发生率为12.3%,死亡6例,其中5例死于低心排出量综合征,1例死于心律失常.结论加强体外循环心内直视手术后患者呼吸机治疗护理是提高手术成功率、减少VAP的重要保证.
목적 탐토심장판막치환술후여하통과정학적호흡궤치료화기도관리,제고술후적성공솔.방법 통과호흡삼수적설치、궤계통기기간적감측화호흡도관리,급시조절호흡궤삼수,장악흡담급발제기관삽관적시궤급철궤후가강술후관리.결과 본조술후궤계통기시간위4 h지5 d,평균15.6±12.4～15.2 h.호흡궤상관성폐염(VAP)발생솔위12.3%,사망6례,기중5례사우저심배출량종합정,1례사우심률실상.결론 가강체외순배심내직시수술후환자호흡궤치료호리시제고수술성공솔、감소VAP적중요보증.
Objective To explore the measures of correct mechanical ventilation treatment and artificial airway management in order to improve the surgical success rate.Methods To set and adjust respiratory ventilation parameters and to close monitor the caurse of mechanical ventilation and respiratory management and to master sputum-aspirating opportunity and the time for tube extraction and management after mechanical ventilation withdrawal.Results The mechanical ventilation time was 4 h ～ 5 d,mean 15.6 ± 12.4 ～ 15.2 h,the incidence of ventilator-associated pneumonia(VAP)was 12.3%,6 cases died,5 cases died of the low cardiac output syndrome and q cases died of arrhythmia.Conclusions Improved mechanical ventilation treatment and nursing is the important guarantee of increasing the operative successful rate and decreasing VAP.