急性甲醇中毒病人的护理对策  

Nursing Strategy of Acute Methanol Poisoning Patients

作　　者：罗文丽[1] 周静东[1] 

机构地区：[1]广东省广州市第十二人民医院职业健康监护中心,510620

出　　处：《职业与健康》2009年第23期2649-2650,共2页Occupation and Health

摘　　要：目的探讨急性甲醇中毒病人的护理对策。方法对46例急性甲醇中毒病人的抢救护理过程进行回顾性总结,根据临床表现、实验室检查及脏器功能改变情况制定抢救护理对策,如通过洗胃导泻、血液透析清除毒物、纠正酸中毒、观察消化道功能、保护视神经、心理护理等。结果经过30d的治疗护理,除1例(2.17%)因重度神经功能障碍仍留院治疗,1例(2.17%)死亡,1例自动出院(2.17%)外,其余43例患者中9例(20.93%)治愈,34例(79.06%)好转。结论对急性甲醇中毒病人正确掌握抢救时效性,采取积极有效的治疗护理,对于提高抢救成功率,降低后遗症有重要意义。[ Objective] To explore the nursing strategy of acute methanol poisoning patients. [ Methods] A retrospective summary was performed on nursing process of 46 patients with acute methanol poisoning. The nursing strategy was developed according to clin- ical manifestations, laboratory tests and change of organ function such as catharsis gastric lavage, clearance of toxins by hemodialysis, correcting acidosis, observation of gastrointestinal function, protection of the optic nerve, mental nursing. [ Results] After treatment and nursing of 30 days, except for 1 case （2.17% ） hospitalization caused by severe neurological dysfunction, 1 dead case （2. 17%） , 1 case automatic discharge; of the rest 43 patients , 9 （20.93%） were cured, 34 （79.06%） improved. [ Conclusion] To take active and effective treatment and nursing is important to improve survival rate and reduce sequelae rate of acute methanol poisorting patients.

关 键 词：甲醇 中毒 护理 

分 类 号：R473.5[医药卫生—护理学]