Practical Journal of Organ Transplantation(Electronic Version) ›› 2017, Vol. 5 ›› Issue (5): 340-342.DOI: 10.3969/j.issn.2095-5332.2017.05.005

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Application of high-flow nasal cannula in respiratory failure patients after the lung transplantation

  

  • Online:2017-09-20 Published:2021-06-16

经鼻高流量吸氧在肺移植术后患者呼吸衰竭的应用

陈耿靖,陈亮,许红阳,陈静瑜   

Abstract:

Objective To observe the high-flow nasal cannulae can reduce the rates of reintubation of patients with acute respiratory failure after the lung transplantation in intensive care unit(ICU). Methods A total number of 18 cases of patients after lung transplantation with aute respiratory failure in the ICU after extubation were divided into two groups,control group of 9 patients,9 cases of observation group patients. Compareing the reintubation rates between control group patients using non-invasive mechanical ventilation and observation group of patients using HFNC. Results Observation group of reintubation rate was 22.22% ,the control group was 55.55%, reintubation rate difference of two groups of patients were statistically significant(P < 0.05). Conclusion HFNC can reduce the postoperative extubation in patients with acute respiratory failure after lung transplantation.

摘要:

目的 探究经鼻高流量吸氧(HFNC)能否降低重症监护病房(ICU)内肺移植术后患者发 生急性呼吸衰竭的再插管率。方法 选择 ICU 内 18 例肺移植术后在脱机拔管后发生急性呼吸衰竭的患者, 分为观察组、对照组各 9 例,观察组患者发生呼吸衰竭后采用 HFNC 治疗,而对照组采用无创机械通气, 比较两组患者的再插管率。结果 观察组的再插管率为 22.22%,对照组为 55.55%,两组比较差异有统计学 意义(P < 0.05)。结论 NFNC 可以降低肺移植术后发生急性呼吸衰竭患者的再插管率。