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
急症护理研究

四氯乙烯中毒患者行中西医结合促进毒物排泄的急救护理

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网络出版日期: 2024-01-25

Emergency nursing care of a patient with tetrachloroethylene poisoning treated by combining traditional Chinese and Western medicine to promote the excretion of poison

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Online published: 2024-01-25

摘要

总结1例口服四氯乙烯中毒继发多脏器功能不全患者的急救护理体会。 针对患者所服毒物具有多通道吸收、病情进展迅速,需快速、彻底清除毒物的同时保护脏腑功能的特点,采取消化道-呼吸道-皮肤-脏腑序贯式清除毒物策略、大潮气量机械通气策略促进毒物清除、肺部超声动态评估预防气压伤,以及可视化中药洗胃预防误吸等针对性护理措施。 经过中西医结合全面、高效的急救和护理,患者病情好转,于入院6 d后出院,出院1个月随访无异常。

本文引用格式

林振华 卫建华 邹吉涛 . 四氯乙烯中毒患者行中西医结合促进毒物排泄的急救护理[J]. 中华急危重症护理杂志, 2024 , 5(1) : 55 -57 . DOI: 10.3761/j.issn.2096-7446.2024.01.010

Abstract

To summarize the emergency nursing experience of a patient with multiple organ dysfunction caused by oral tetrachloroethylene poisoning. Targeted nursing measures should be taken to address the multi-channel absorption of toxins and the rapid progression of the disease,including the need of rapid and thorough removal of toxins while protecting visceral functions, we adopted a sequential detoxification strategy combined digestive tract- respiratory tract-skin-visceral system,high tidal volume mechanical ventilation strategy to promote detoxification, dynamic evaluation of lung ultrasound to prevent barotrauma,and visualization of traditional Chinese medicine gastric lavage during mechanical ventilation to prevent aspiration. After comprehensive and efficient first aid and nursing through the integration of traditional Chinese and Western medicine,the patient’s condition improved and was discharged 6 days after admission. There were no abnormalities in the one-month follow-up after discharge.
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