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。