摘要
目的:分析ICU气管插管患者通过自主呼吸试验后拔管失败的原因,总结经验以减少I CU气管插管拔管后48h内再插管率。方法:回顾性分析2015年1月至2018年12月,我院ICU收治的气管插管通过自主呼吸试验(SBT)后仍拔管失败的16例患者的临床资料。结果:吞咽功能障碍6例,精神因素3例,运动神经元病3例,声门水肿2例,格林巴利综合征1例,会厌畸形1例。结论:自主呼吸试验指导撤机存在局限性,了解撤机过程中各种失败的原因,并进行针对性预处理,可降低ICU气管插管拔管后48h内再插管率。
[Objective]To analyze the failure factors of extubation in patients after spontaneous breathing test,and to summarize the experience to reduce the rate of reintubation within 48 hours after extubation in Intensive Care Unit(ICU).[Method]We retrospectively analyzed the clinical data of 16 patients who failed to extubate after tracheal intubation in our hospital from January 2015 to December 2018 through the spontaneous breathing test(SBT),and analyzed the reasons for failing extubation.[Result]There were 6 cases of swallowing dysfunction,3 cases of mental factors,3 cases of motor neuron disease,2 cases of glottic edema,1 case of Guillain-Barre syndrome,and 1 case of epiglottis.[Conclusion]The spontaneous breathing test guides the limitations of weaning.Understanding the causes of various failures during the weaning process and targeted pretreatment can reduce the reintubation rate within 48 hours after extubation of the I CU.
作者
张勇
宋平
ZHANG Yong;SONG Ping(The People’s Hospital of Deqing,Zhejiang 313200,China)
出处
《浙江医学教育》
2020年第2期54-56,共3页
Zhejiang Medical Education
关键词
气管插管
自主呼吸试验
拔管失败
原因分析
tracheal intubation
spontaneous breathing test
failing extubation
analysis of causes
