关键词: 呼吸衰竭, 脱机相关性心力衰竭, 呼吸机依赖, 肺康复, 危重病护理

Abstract:

To summarize the nursing experience of pulmonary rehabilitation in a patient with respiratory failure secondary to weaning failure of cardiac origin. In response to issues such as difficulty in weaning and heart failure，nursing points included nurse-led establishment of a multidisciplinary pulmonary rehabilitation management team，balancing respiratory support and cardiac load during the acute phase，prioritizing cardiac function improvement，and refined volume management. During the rehabilitation period，offline training with “three-stage cardiac function warning” was performed，sequential sedation and analgesia，and personalized lung rehabilitation were implemented. After careful care，the patient successfully removed the ventilator on the 48th day of admission and was transferred to a regular ward. He was discharged on the 62nd day.

Key words: Respiratory Failure, Weaning Related Cardiac Failure, Ventilator Dependency, Pulmonary Rehabilitation, Critical Care Nursing