心脏瓣膜病术后呼吸功能衰竭的防治

目的总结心脏瓣膜病术后呼吸功能衰竭的预防和治疗经验。方法2002年1月-2006年12月共行心脏瓣膜手术274例,术后发生呼吸功能衰竭的24例。区分不同原因,采取呼吸机辅助呼吸等综合措施治疗。结果本组21例于术后48-144小时行气管切开,8例2次气管插管呼吸机辅助呼吸。4例于术后死亡。结论心脏瓣膜病术后呼吸功能衰竭是严重的并发症,治疗成功的关键是提前预防,及时确诊,呼吸机辅助呼吸治疗。

Prevention and management of postoperative repiratory failure in patients undergoing valvular surgery

Objiective To summarize the experience of prevention and management of repiratory failure after valvular surgery. Methods Between January 2002 and December 2006,274 patients underwent valvular surgery. 24 patients developed postoperative repiratory failure. To take compositive measures including assisting-respiration with respirator according to different reason. Results 21 patients performed tracheotomy after valvular surgery 48 to144 hours. 8 patients performed tracheal cannula again. 3 patients died after operation. Conclusions Postoperative repiratory failure was a severe complication. The key points successful management were to prevente, to diagose promptly, to assiste respiration with respirator.