摘要
总结5例钩吻中毒患者的急救护理体会。针对患者毒物吸收快、清除时间窗短、突发意识障碍、呼吸衰竭等护理问题,采取以下护理措施:跨机构协作实现信息互通与快速转运;应用超声引导洗胃联合声门下吸引技术促进毒物清除;实施输液治疗和连续性血液滤过加速毒素排出。经过积极救治与护理,5例患者均病情稳定出院,随访时状况均良好。
This article summarized the emergency nursing experience in managing five patients with Gelsemium elegans poisoning.In view of the toxin’s rapid absorption,short clearance window,and the patients’sudden onset of consciousness disturbance and respiratory failure,inter-institutional collaboration was implemented to ensure timely information exchange and rapid transfer.In the emergency department,ultrasound-guided lateral decubitus gastric lavage combined with subglottic aspiration was performed to enhance toxin clearance.In the ICU,respiratory and circulatory functions were closely monitored,and continuous hemofiltration was applied to accelerate toxin elimination.After active treatment and nursing care,the patients were discharged in a stable condition and remained in good health during follow-up.
作者
夏致远
何佳
王黎醒
石义容
杨敏
王荀
黄燕梅
李志艳
张利
XIA Zhiyuan;HE Jia;WANG Lixing;SHI Yirong;YANG Min;WANG Xun;HUANG Yanmei;LI Zhiyan;ZHANG Li(Department of Emergency,henzhen Third People’s Hospital,Shenzhen 518112,China;Longgang District Center for Disease Control and Prevention of Shenzhen,Shenzhen 518172,China;Department of Emergency,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China;Department of Ultrasonography,Shenzhen Third People’s Hospital,Shenzhen 518112,China)
出处
《中华急危重症护理杂志》
2026年第1期77-79,共3页
Chinese Journal of Emergency and Critical Care Nursing
基金
国家自然科学基金资助项目(82172563)。
关键词
钩吻
急性中毒
洗胃
血液滤过
急症护理
Herba Gelsemii Elegantis
Acute Poisoning
Gastric Lavage
Hemofiltration
Emergency Nursing
