41例雪卡毒素中毒病人的临床救治及护理  

Clinical treatment and nursing of 41 patients with ciguatera fish poisoning

作　　者：伍志祝[1] 

机构地区：[1]佛山市顺德区第一人民医院急诊科,广东佛山528300

出　　处：《现代临床护理》2005年第4期40-41,79,共3页Modern Clinical Nursing

摘　　要：目的分析雪卡毒素中毒病人的临床特点,总结病人救治及护理对策。方法对41例雪卡毒素中毒病人的临床资料作回顾性分析及参阅有关文献,了解其临床特点,评价救治及护理效果。结果全部病例均有急性胃肠炎为主的消化道症状,部分病人出现以心率和血压变化为主的心血管症状和以皮肤蚁爬感、瘙痒、痛温觉倒错为主的神经系统症状;经对症支持治疗,配合恰当的护理,全部病人2～3周内症状消失,无1例死亡。结论雪卡毒素中毒早期出现急性消化道症状应与急性胃肠炎鉴别诊断,对症支持治疗,严密观察病情变化,尤其要注意心率、血压的变化,加强生活护理和皮肤护理,同时做好心理护理及饮食健康宣教是救治雪卡毒素中毒病人的有效措施。Objective To analyze the clinical treatment and nursing of patients with ciguatera fish poisoning. Method The clinical data of 41 patients with ciguatera fish poisoning and some related references were reviewed. Clinical treatment and nursing of patients with ciguatera fish poisoning were also evaluated. Results Acute gastrointestinal symptoms occurred in all patients. Cardiovascular symptoms such as the change of heart rate and blood pressure and the neural symptoms such as skin itch and temperature reversa occurred in some patients. 41 patients were cured from 2-3 weeks, and no death occurred. Conclusion The effective methods include： making differential diagnosis when the gastrointestinal symptom occurred early; offering pertinent treatment and proper nursing cooperation. The nursing measures included close observation of disease changes such as the changes of blood pressure and the changes of heart rate, nursing for patients＇ life and skin, mental care to help patients overcome fear and stress, and health and diet education.

关 键 词：雪卡毒素 中毒 抢救 护理 

分 类 号：R473.5[医药卫生—护理学]