中华急危重症护理杂志2024,Vol.5Issue(1) :55-57.DOI:10.3761/j.issn.2096-7446.2024.01.010

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

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

林振华 卫建华 邹吉涛
中华急危重症护理杂志2024,Vol.5Issue(1) :55-57.DOI:10.3761/j.issn.2096-7446.2024.01.010

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

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

林振华 1卫建华 2邹吉涛1
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作者信息

  • 1. 310010 杭州市 浙江省立同德医院急诊科
  • 2. 浙江大学附属第一医院外科监护室
  • 折叠

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.

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.

关键词

四氯乙烯/中毒/超声检查,多普勒/洗胃/中西医结合疗法/急症护理

Key words

Tetrachloroethylene/Poisoning/Ultrasonography,Doppler/Gastric Lavage/Integrated Chinese Traditional and Western Medicine Therapy/Emergency Nursing

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出版年

2024
中华急危重症护理杂志

中华急危重症护理杂志

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