肺部感染治疗

a
applehoney
楼主 (北美华人网)
母亲因为患有帕金森长期卧床,目前发烧肺部感染,ct显示坠极性肺炎,大夫说情况比较危及,要我有准备,请问最严重的时候抢救做插管需要全麻吗?全麻对心脏有风险,担心全麻就没法醒过来,另外后面预后拔管困难吗? 切气管是在什么情况下?我想太痛苦的就不切气管了。 我已经被疫情防控无法回国,十分焦虑,请问专业人士和过来人有什么经验教训,非常感激。
k
kingkongmm92
不懂帮顶。bless!
c
clockclock
bless.
G
Ghmw
Bless!不过楼主关心的有点偏,麻药那时候已经不重要了,生命更重要对吗
g
greywood
插管后基本就拔不下来了。 即使护理条件很好,也只是维持。
l
lovecity
It is very little chance for your father to be extubated but if he is ever intubated.
s
sweatyarmpit007
Not a lot of risk in intubation, but prob very unlikely to be extubated, will require trach and long term care if cannot quickly get off the vent. Might also see significant decline in mental status.
There is a reason there is a saying that pneumonia is an old man''''''''''''''''s best friend. You need to think about how far you willingn to and how far your mother is willing to go, and what her wishes are. If your mother recovers well this time with her mental status intact, now is the time to talk about end of life wishes. Because aspiration pneumonia will happen again.
What is your mother''s baseline mental status at this point? I assume not great if she gets aspiration pneumonia

a
applehoney
精神状态还可以,痰多因为帕金森没法咳嗽出来,意识清醒,就是嗜睡,确实这种痰多卧床引起的肺炎很容易再次复发、护理是个大问题