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.