气管插管加辅助通气是抢救重度呼衰的重要手段之一。一般认为气管插管留置时间不宜超过72小时。国内文献报道经鼻气管插管最长21天。我院1987年10月抢救1例87岁重度呼衰(Ⅱ型)患者,留置经口气管插管53天加辅助通气51天,留置期间未见明显并发症,收到了良好的效果。目前经口气管插管留置时间如此之长国内尚未见报道。关于气管插管,气管切开 Tracheal intubation plus assisted ventilation is an important means of rescuing severe respiratory failure. Generally believed that intubation indwelling time should not exceed 72 hours. Domestic literature reported nasotracheal intubation up to 21 days. In our hospital in October 1987 to rescue a 87-year-old patients with severe respiratory failure (type Ⅱ), indwelling 53 days of oral intubation plus assisted ventilation for 51 days, no significant complications during the retention, received good results. At present, there is no report about the long duration of oral intubation indwelling in China. About tracheal intubation, tracheotomy