重症患者撤机失败原因与处理

doi:10.3969/j.issn.1002-1949.2019.04.020

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摘要在重症医学科（ICU）使用机械通气的患者如撤机时机把握不当，会导致多种并发症的发生。目前全球ICU内发生撤机失败较常见，而不同个体间撤机失败的原因和机制不尽相同。因此，有意识地对机械通气患者进行撤机前风险评估，并针对撤机失败不同原因的病理生理学基础和器官功能状态进行分析，可明显预防撤机失败发生。本文将对撤机失败原因及相应处理措施进行综述。

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	赵浩天
	王华伟
	龙玲
	张之阳
	王光英
	赵鹤龄

关键词 ：机械通气, 撤机, 呼吸肌

基金资助:河北省政府资助临床医学优秀人才培养和基础课题研究项目（361003）；河北省医学科学研究重点课题计划（20160083）

通讯作者: 赵鹤龄（1963-），男，硕士，主任医师，硕士生导师，教授，ICU主任，E-mail:zhheling@sina.com。

作者简介: 赵浩天（1990-），男，硕士，住院医师，E-mail：1011192637@qq.com。

引用本文:

赵浩天，王华伟，龙玲，张之阳，王光英，赵鹤龄. 重症患者撤机失败原因与处理[J]. 中国急救医学, 2019, 39(4): 393-397.
Zhao Hao-tian, Wang Hua-wei, Long Ling, Zhang Zhi-yang, Wang Guang-ying, Zhao He-ling. Analysis and treatment of weaning failure in critical ill patients. Chinese Journal of Critical Care Medicine, 2019, 39(4): 393-397.

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http://www.cnemergency.org.cn/CN/10.3969/j.issn.1002-1949.2019.04.020 或 http://www.cnemergency.org.cn/CN/Y2019/V39/I4/393

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