关键词: 结核, 肺, 呼吸功能不全, 呼吸, 人工, 气道管理, 肺炎, 呼吸机相关性, 病人医疗护理

Abstract:

Fifty-six patients with pulmonary tuberculosis complicated with respiratory failure who were treated in the Intensive Care Unit of Beijing Chest Hospital, Capital Medical University from January 2017 to June 2018 were retrospectively analyzed, and to carry out airway management program and analyze the incidence of complications related to mechanical ventilation, nursing adverse events and treatment outcome. Among the 56 patients, 7.1% (4/56) were complicated with ventilator-associated pneumonia; the rate of adverse events related to endotracheal intubation was 12.5% (7/56), all responded promptly and properly; no case occurred respiratory tract mucosa dryness and airway blockage. Thirty-two patients transferred out of ICU after improvement, the rescue success rate was 57.1%; twenty-four cases died, the mortality rate was 42.9%. Our study show that airway management program for pulmonary tuberculosis patients complicated with respiratory failure has lower incidence of complications, and which has a certain promoting effect on improving prognosis.

Key words: Tuberculosis, pulmonary, Respiratory insufficiency, Respiration, artificial, Airway mana-gement, Pneumonia, ventilator-associated, Patient care