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目的 探讨老年呼吸衰竭机械通气患者撤机失败的原因与护理对策。方法 对19 例次撤机失败者进行回顾分析。结果 食道返流误吸,营养不良;气道分泌物潴留,呼吸道管理不善;原发病控制不力;呼吸肌疲劳或萎缩;呼吸机依赖,心理障碍是其主要原因。结论 合理胃肠道饲养,鼻饲采取正确体位;加强呼吸道管理;控制原发病;合理呼吸功能锻炼,增加营养;把握撤机时机,做好心理护理,能够提高撤机成功率。
Objective To investigate the reasons and nursing countermeasures of weaning failure in senile respiratory failure patients with mechanical ventilation. Methods A retrospective analysis was performed on 19 losers who had weaning. Results esophageal reflux aspiration, malnutrition; airway secretions retention, poor respiratory tract management; poor control of the primary disease; respiratory muscle fatigue or atrophy; ventilator dependence, psychological disorders are the main reason. Conclusion The reasonable gastrointestinal tract feeding, nasal feeding take the correct position; strengthen the respiratory tract management; control the primary disease; reasonable respiratory exercise, increase nutrition; grasp the weaning opportunity, good psychological care, can improve the success rate of weaning.