罗青 肖婷 张乐

【摘要】目的：探析护理干预在急性重度硫化氢中毒伴心肌损伤患者救治中的积极作用。方法：随机选取我院2018年11月至2020年4月期间收治的64例急性重度硫化氢中毒伴心肌损伤患者，所有患者以救治中是否采取护理干预分为参照组（32例，常规救治）和研究组（32例，常规救治+护理干预），对比分析两组患者的死亡率及患者对救治效果的满意度。结果：研究组和参照组患者死亡率分别为3.13%、15.63%，研究组显著低于参照组，且研究组患者对救治效果的满意度为93.75%，明显高于参照组81.25%，差异有统计学意义（P<0.05）。结论：护理干预在急性重度硫化氢中毒伴心肌损伤患者救治中有顯著的积极应用效果，可有效降低患者死亡率，提高患者对救治效果的满意度，降低医患纠纷发生率。

【关键词】急性重度硫化氢中毒；急救护理；心肌损伤

[中图分类号]R473.5 [文献标识码]A [文章编号]2096-5249（2021）11-0094-02

Positive role of nursing intervention in the treatment of acute severe hydrogen sulfide poisoning with myocardial injury

LUO Qing， XIAO Ting， ZHANG Le（Department of Hematology， Longhua Central Hospital， Shenzhen Guangdong 518110， China）

[Abstract]Objective： To explore the positive role of nursing intervention in the treatment of acute severe hydrogen sulfide poisoning with myocardial injury. Methods： 64 cases of acute severe hydrogen sulfide poisoning with myocardial injury in our hospital from November 2018 to April 2020 were randomly selected. All patients were divided into the reference group （32 cases， conventional treatment） and the study group （32 cases， conventional treatment + nursing intervention） according to whether nursing intervention was taken in the treatment. The mortality and satisfaction of patients with treatment effect in the two groups were compared and analyzed. Results： the mortality rate of the study group and the reference group were 3.13% and 15.63%， respectively. The study group was significantly lower than the reference group， and the satisfaction of the treatment effect of the study group was 93.75%， significantly higher than that of the reference group 81.25%， the difference was statistically significant（P<0.05）. Conclusion： nursing intervention in the treatment of acute severe hydrogen sulfide poisoning with myocardial injury has significant positive application effect， can effectively reduce the mortality of patients， improve the satisfaction of patients with treatment effect， and reduce the incidence of medical disputes.

[Key words] Acute severe hydrogen sulfide poisoning； Emergency nursing； Myocardial injury

硫化氢是一种具有刺激性和窒息性的无色气体，低浓度的接触会有呼吸道和眼部的刺激症状，高浓度时会导致中枢神经系统损伤和窒息症状[1]。急性硫化氢轻度中毒症状有眼和呼吸道的刺激症状，如果中毒浓度大或者中毒时间长，其症状加重。呼吸系统主要有咳嗽、喘息、咽喉痛、胸闷、呼吸困难、发绀。神经系统表现为头痛、嗜睡、恶心、呕吐、眩晕、抽搐、肌肉强直或者昏迷等[2]。心肌损伤指的是各种原因引起的心肌细胞受损，急性重度硫化氢中毒伴心肌损伤， 可导致患者心肌细胞炎性水肿坏死，病情危急，若治疗不及时，患者随时可能死亡[3]。……