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

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