1例心脏瓣膜病术后患者合并气管软化症致延迟撤机的护理

doi:10.3761/j.issn.0254-1769.2023.23.005

中华护理杂志 ›› 2023, Vol. 58 ›› Issue (23): 2852-2855.DOI: 10.3761/j.issn.0254-1769.2023.23.005

1例心脏瓣膜病术后患者合并气管软化症致延迟撤机的护理

金佳敏(), 俞超(), 高春华, 戚智洋, 周利, 崔冬冬

310003 杭州市浙江大学医学院附属第一医院护理部

收稿日期:2023-04-24 出版日期:2023-12-10 发布日期:2023-12-12
通讯作者: 俞超 E-mail：linxiaosu@zju.edu.cn
作者简介:金佳敏：女，本科，主管护师，E-mail：841547990@qq.com

A case study on caring of a post-operational patient with valvular heart disease and prolonged weaning due to tracheomalacia

JIN Jiamin(), YU Chao(), GAO Chunhua, QI Zhiyang, ZHOU Li, CUI Dongdong

Received:2023-04-24 Online:2023-12-10 Published:2023-12-12

摘要/Abstract

摘要：

总结1例心脏瓣膜病术后患者合并气管软化症致呼吸机延迟撤机的护理。护理要点：实时监测出血和凝血，动态实施抗凝方案；加强气道管理，早期预警并处理气道塌陷；多维度联合诊治，加快康复进程；实时评估，序贯式管理镇静镇痛和营养计划。经过27 d的精心治疗与护理，患者成功撤机并转出ICU，5 d后康复出院。

关键词: 气管软化, 延迟撤机, 康复护理, 衰弱

Abstract:

To summarize the nursing experience of a post-operational patient with valvular heart disease and prolonged weaning due to tracheomalacia. Key points of nursing include real-time monitoring of bleeding and coagulation，dynamic implementation of anticoagulation programs；strengthening airway management，early warning and treatment of airway collapse；multi-dimensional joint diagnosis and treatment to speed up the rehabilitation process；real-time assessment，sequential management of sedation，analgesia and nutrition programs. After 27 days of careful treatment and nursing，the patient was weaned from a ventilator successfully and transferred to another department，and was discharged after 5 days.

Key words: Tracheomalacia, Prolonged Weaning, Rehabilitation Nursing, Frailty

金佳敏, 俞超, 高春华, 戚智洋, 周利, 崔冬冬. 1例心脏瓣膜病术后患者合并气管软化症致延迟撤机的护理[J]. 中华护理杂志, 2023, 58(23): 2852-2855.

JIN Jiamin, YU Chao, GAO Chunhua, QI Zhiyang, ZHOU Li, CUI Dongdong. A case study on caring of a post-operational patient with valvular heart disease and prolonged weaning due to tracheomalacia[J]. Chinese Journal of Nursing, 2023, 58(23): 2852-2855.

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1例心脏瓣膜病术后患者合并气管软化症致延迟撤机的护理

A case study on caring of a post-operational patient with valvular heart disease and prolonged weaning due to tracheomalacia

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