杨芳芳

【摘 要】目的：分析一氧化碳急性中毒患者的院前院内急救治疗方案。方法：选择2018年1月至2020年1月医院急救中心的一氧化碳急性中毒患者作为观察组，共40例，再将同一时间段的未经120急救中心收治，由家属送至本院治疗的急性一氧化碳中毒患者40例为对照组，比较两组的护理效果及并发症发生率。结果：观察组患者的院前院内急救护理疗效高于对照组，并且发生脑水肿、肺水肿、心肌损害等并发症发生率低于对照组，两组患者数据比较差异明显，有统计学意义（P<0.05）。结论：对于一氧化碳的急性中毒患者实施院前院内急救护理，能够将患者病情及时控制住，避免病情再次恶化，从而将治疗疗效提高，降低并发症发生率，值得推广与应用于临床护理中。

【关键词】一氧化碳中毒；院前急救护理；院内急救护理

Pre-hospital and in-hospital emergency nursing measures for patients with acute carbon monoxide poisoning

YANG Fangfang

Dingtao District People’s Hospital， Heze， Shandong 274100， China

【Abstract】Objective：The pre hospital and in hospital emergency treatment plan for acute patients with carbon monoxide poisoning was analyzed. Methods： 40 patients with acute carbon monoxide poisoning in the hospital emergency center from January 2018 to January 2020 were selected as the observation group， and then 40 patients without treatment in 120 emergency center in the same period were sent to the hospital by their families for treatment of acute carbon monoxide poisoning as the control group.The nursing effect and complication rate of the two groups were compared.Results： The curative effect of pre-hospital and in-hospital emergency nursing in the observation group was higher than that in the control group， and the incidence of complications such as brain edema， pulmonary edema and myocardial damage was lower than that in the control group. There was significant difference between the two groups（P<0.05）.Conclusion： The implementation of prehospital and in-hospital emergency nursing for acute patients with carbon monoxide poisoning can timely control the patient’s condition and avoid the deterioration of the condition again， so as to improve the treatment effect and reduce the incidence of complications. It is worthy to be popularized and applied in clinical nursing.

【Key？Words】Carbon monoxide poisoning； Emergency care before hospital； Emergency care in hospital

一氧化碳中毒是由于吸入的含碳物質燃烧不完全引起的。其毒性机制是一氧化碳和血红蛋白的亲和力比氧气和血红蛋白高300倍。碳血红蛋白是一氧化碳和血红蛋白的混合物，血红蛋白失去氧气的能力和功能，窒息组织和细胞，尤其对大脑皮层有毒。当患者发生一氧化碳中毒后如果没有及时得到有效的治疗与护理，会对患者的生命安全造成严重的威胁，而正确的急救措施对于患者的存活率与后续身体康复存在着重要意义[1]。回顾我院2018年至2020年经过“120”急救中心接收治疗的急性一氧化碳中毒患者与同时间段内由家属送至本院治疗的急性一氧化碳中毒患者的临床资料，为了分析探讨急性一氧化碳中毒患者院前与院内急救护理措施，本次研究报告如下。……