Abstract:

This article summarizes the emergency treatment and nursing experience of a patient with hydrofluoric acid ingestion complicated by respiratory and cardiac arrest. The key points of nursing include：strengthening the protection and repair of the digestive tract mucosa，rapidly eliminating toxins from the body；dynamically monitoring electrolytes，balancing the risks of hemorrhage and thrombosis；predicting fatal arrhythmias，and quickly implementing extracorporeal cardiopulmonary resuscitation；developing an individualized nutritional plan，and implementing precise feeding；providing goal-oriented sedation and analgesia，and implementing early rehabilitation management. After 12 days of treatment and nursing in the ICU，the patient was transferred to a general ward for treatment and recovery before being discharged. Follow-up visits via phone and outpatient visits were conducted for a month，and the patient showed good recovery.

Key words: Hydrofluoric Acid, Poisoning, Cardiac Arrest, Extracorporeal Cardiopulmonary Resuscitation, Emergency Nursing

摘要：

总结1例误服氢氟酸并发呼吸心搏骤停患者的急救护理经验。护理要点：加强消化道黏膜保护与修复，快速清除体内毒素；动态监测电解质，平衡出血与血栓风险；预警致命性心律失常，快速实施体外心肺复苏；制订个体化营养方案，实施精准喂养；目标导向的镇静镇痛，落实早期康复管理。经过ICU 12 d的治疗与护理，患者转入普通病房治疗后康复出院，电话及门诊随访1个月，恢复良好。

关键词: 氢氟酸, 中毒, 心搏骤停, 体外心肺复苏, 急救护理