Abstract:

To summarize the emergency nursing experience of 1 patient with neck suicide complicated with airway obstruction and hemorrhagic shock. Nursing points：to ensure airway safety and establish artificial airway； to optimize airway management and implement early sedation and wake-up； to control injury bleeding and limited fluid resuscitation； to establish a micro blood station in the emergency department and start a high-dose blood transfusion procedure； to carry out the refined target body temperature management to reduce complications； to optimize speech communication strategies and implement early psychological care. After 7 days of careful treatment and nursing，the patient’s condition improved and recovered. After 2 months of follow-up，the patient recovered well.

Key words: Neck Injuries, Suicide, Airway, Hemorrhagic Shock, Hypothermia, Nursing Care

摘要：

总结1例刎颈自杀并发气道阻塞及失血性休克患者的急救护理经验。护理要点：确保气道安全，建立人工气道； 优化气道管理，实施早期镇静唤醒； 控制损伤出血，限制性液体复苏； 设立急诊科微型血站，启动大剂量输血程序； 精细化目标体温管理，降低并发症； 优化言语沟通策略，实施早期心理护理。经过7 d的精心治疗与护理，患者病情好转，康复出院； 出院2个月随访，患者恢复良好。

关键词: 颈部损伤, 自杀, 气道, 失血性休克, 低体温, 护理