长期机械通气患者的气道管理方法初探

探讨ICU长期机械通气患者人工气道的管理方法及其对预后的影响。回顾性分析我院中心ICU2006年1月至今4例连续机械通气时间大于3个月患者的临床资料，总结人工气道管理经验。通过加强气道管理，可以明显减少抗菌药物的应用，有效改善预后。4例患者中1例成功撤机封管出院，2例至今仍生存，1例死亡。提示具体有效的呼吸道管理措施是减少呼吸机相关性肺炎、延长患者生命及提高治愈率的保证。

Strategies of Airway Management based on the Mechanical Ventilation Patients of Long-term

To explore airway management of long--term mechanical ventilation patients in ICU and its effect on prognosis, four patients had mechanical ventilated above 3 months since January 2006 in our ICU. We analyzed the patients＇ clinical data retrospectively, summarized the experience of artificial airway management. By enhancing artificial airway management, we could sharply decrease the application of antibiotic and improve the outcome of patients. One of four patients had withdrawn the machine successfully and discharged, two are still alive and one died. It indicates that specific and effective airway management can decrease the incident of VAP and increase patients＇ survival.