ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (1): 77-79.doi: 10.3761/j.issn.2096-7446.2026.01.011

• 急症护理研究 • 上一篇    下一篇

钩吻群体中毒患者跨机构协作及急救护理

夏致远1(), 何佳1, 王黎醒1, 石义容1, 杨敏2, 王荀2, 黄燕梅3, 李志艳4, 张利1,*()   

  1. 1.深圳市第三人民医院急诊科 深圳市 518112
    2.深圳市龙岗区疾病预防控制中心 深圳市 518172
    3.中山大学附属第一医院急诊科 广州市 510080
    4.深圳市第三人民医院超声科 深圳市 518112
  • 收稿日期:2025-04-29 出版日期:2026-01-10 发布日期:2026-01-06
  • 通讯作者: 张利，E-mail：542389804@qq.com
  • 作者简介:夏致远：男，本科，主管护师，E-mail：791057462@qq.com
  • 基金资助:
    国家自然科学基金资助项目(82172563)

Interagency collaboration and emergency nursing care for patients with Gelsemium elegans group poisoning

XIA Zhiyuan1(), HE Jia1, WANG Lixing1, SHI Yirong1, YANG Min2, WANG Xun2, HUANG Yanmei3, LI Zhiyan4, ZHANG Li1,*()   

  1. 1. Department of Emergency， henzhen Third People’s Hospital， Shenzhen 518112， China
    2. Longgang District Center for Disease Control and Prevention of Shenzhen， Shenzhen 518172， China
    3. Department of Emergency， the First Affiliated Hospital，Sun Yat-sen University， Guangzhou 510080， China
    4. Department of Ultrasonography， Shenzhen Third People’s Hospital， Shenzhen 518112， China
  • Received:2025-04-29 Online:2026-01-10 Published:2026-01-06
  • Contact: ZHANG LiE-mail：542389804@qq.com
  • Supported by:
    National Natural Science Foundation of China Project(82172563)

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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。

关键词: 钩吻, 急性中毒, 洗胃, 血液滤过, 急症护理

Abstract:

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.

Key words: Herba Gelsemii Elegantis, Acute Poisoning, Gastric Lavage, Hemofiltration, Emergency Nursing