引用本文:刘 刚,刘双林,王美菊,李 琦.机械通气困难撤机/延迟撤机的病理生理学因素与解决策略[J].中国临床新医学,2021,14(4):329-332.
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机械通气困难撤机/延迟撤机的病理生理学因素与解决策略
刘 刚,刘双林,王美菊,李 琦
400037 重庆,陆军军医大学第二附属医院呼吸与危重症医学中心
摘要:
[摘要] 随着有创机械通气在临床上的广泛使用,救治了大量的危重症患者,但也有较多使用有创通气的患者由于各种原因导致撤机困难,严重影响患者的预后和生活质量。该文将从机械通气困难撤机/延迟撤机的病理生理学角度,阐述临床上困难撤机/延迟撤机的相关要点,总结并提出对应的处理措施。
关键词:  机械通气  病理生理学  困难撤机  延迟撤机
DOI:10.3969/j.issn.1674-3806.2021.04.01
分类号:R 56
基金项目:
Pathophysiological factors and solutions for difficult/delayed withdrawal of mechanical ventilation
LIU Gang, LIU Shuang-lin, WANG Mei-ju, et al.
Department of Respiratory and Critical Care Medicine, the Second Affiliated Hospital of Army Medical University, Chongqing 400037, China
Abstract:
[Abstract] With the wide use of invasive mechanical ventilation in clinical practice, a large number of critically ill patients are rescued. However, there are still many patients who use invasive mechanical ventilation but have difficulty in weaning because of various reasons, which seriously affects the prognosis and quality of life of the patients. This paper reviews the relevant pathophysiological issues in patients having difficulty/delay in weaning from mechanical ventilation, elaborates the key points related to difficulty/delay in weaning, summarizes and puts forward the corresponding treatment measures.
Key words:  Mechanical ventilation  Pathophysiology  Difficult weaning  Delayed weaning