总结1例冬季醉酒后野外夜宿致严重低体温合并Ⅲ度冻伤患者的护理体会。护理重点：采用梯度复温策略（体外电热毯联合体内连续性肾脏替代治疗）实现7.25 h核心体温恢复；运用湿润烧伤膏与磺胺嘧啶银序贯疗法处理冻伤创面；结合镇静镇痛与每日唤醒策略管理意识障碍。经7 d救治，患者好转出院，2个月后来院复诊，冻伤肢体功能完全恢复。提示对于非寒冷地区突发的严重冻伤病例，早期精准复温、创面分层管理及多系统并发症综合防治是救治成功的关键。

To summarize the nursing experience of a patient with severe hypothermia and third-degree frostbite caused by staying overnight in the wild after binge drinking in winter. Nursing priorities included gradient rewarming strategy（external electric blanket combined with continuous renal replacement therapy in vivo） to achieve core body temperature recovery within 7.25 h，frostbite wounds treated with moist burn ointment and silver sulfadiazine sequential therapy，combining sedation and analgesia with daily arousal strategies to manage impairment of consciousness. After 7 days of treatment，the patient was discharged from the hospital，and the function of the frostbitten limb was fully recovered two months later. It is suggested that for severe frostbite cases in non-cold areas，early and precise rewarming，wound stratification management，and comprehensive prevention and treatment of multi-system complications are the keys to successful treatment.