关键词: 气管阻塞性纤维素性假膜, 气管假膜脱落, 机械通气, 气管内导管拔除, 护理

Abstract:

To summarize the successful care of a patient with acute liver failure who formed an obstructive fibrinous tracheal pseudomembrane during mechanical ventilation，and whose tracheal pseudomembrane annular abscised after extubation. Key points of nursing include early identification of pseudomembrane abscission，and team collaboration in emergency management；individualized airway care after re-intubation to prevent aggravation of airway injury；active infection control to reduce airway inflammation；strengthening anticoagulation care to promote the recovery of traumatic mucosa；goal-directed sedation and analgesia to assist mechanical ventilation；aspiration prevention during nasal feeding and swallowing function recovery after extubation. The patient was successfully extubated 3 days after re-intubation.

Key words: Obstructive Fibrinous Tracheal Pseudomembrane, Tracheal Pseudomembrane Abscission, Mechanical Ventilation, Endotracheal Tube Extubation, Nursing Care