Abstract:

To summarize the nursing experience of a patient with acute injection botulism complicated with respiratory failure. The key nursing points include early standard use of botulinum antitoxin therapy to improve the signs of myasthenia；to strengthen respiratory support and airway management，to carry out respiratory training，and to promote the recovery of respiratory function；swallowing function training and dynamic evaluation were carried out to promote the recovery of swallowing function；narrative nursing was carried out to relieve patient’s negative emotions. After 17 days of treatment and nursing care，the patient was removed from the tracheal tube on the 7th day，transferred to the general ward on the 14th day，and discharged successfully on the 17th day with a good prognosis. A telephone follow-up was conducted 4 months after discharge，and the patient recovered well.

Key words: Botulinum Toxin, Poisoning, Respiratory Failure, Critical Care

摘要：

总结1例注射性肉毒毒素急性中毒合并呼吸衰竭患者的护理经验。护理要点：早期规范使用肉毒抗毒素治疗，改善肌无力体征；加强呼吸支持及气道管理，实施呼吸训练，促进呼吸功能恢复；开展吞咽功能训练，动态评估吞咽功能，促进吞咽功能恢复；开展叙事护理，缓解患者负性情绪。经过17 d的救治和护理，患者于第7天拔除气管插管，于第14天转至普通病房，第17天顺利出院，预后良好。出院后4个月进行电话随访，患者康复良好。

关键词: 肉毒毒素, 中毒, 呼吸衰竭, 危重病护理