目的探讨毒蛇咬伤后并发症的预防方法。方法对40例毒蛇咬伤患者入院后,进行急诊清创、切开引流排毒等局部处理后,护理人员通过心理护理、疼痛护理、严密观察生命体征,积极抗休克,重视急性肾功能衰竭、急性呼吸衰竭及肢体坏死的预防。结果本组2例患者入院24 h内出现中毒性休克,经积极抢救后治愈;其余38例患者住院期间治疗护理效果良好,未出现并发症,住院时间4~8 d,出院后1周电话回访,所有患者创口均愈合,无感染、肢体无活动障碍,精神状态良好。结论毒蛇咬伤患者预防并发症的关键在于减少毒素吸收、促进毒素尽快排出体外,正确使用抗蛇毒药物,严密观察病情变化,发现异常及早处理。 Objective To explore the prevention of complications after poisonous snake bites. Methods 40 cases of snakebite patients were admitted to hospital for emergency debridement and drainage detoxification and other local treatment, the nurses through psychological care, pain care, close observation of vital signs, active anti-shock, attention to acute renal failure, acute Respiratory failure and the prevention of limb necrosis. Results The two patients in this group showed toxic shock within 24 hours after admission, and were cured after active rescue. The remaining 38 patients were cured during hospitalization without complications. The hospitalization duration was 4 to 8 days. One week after hospital discharge, All patients had healed wounds, no infection, no movement disorders, and good mental state. Conclusions The key to preventing complications in patients with snake bites is to reduce the absorption of toxins and promote the excretion of toxins from the body as soon as possible. The correct use of anti-snake venom drugs, close observation of the changes of the disease, and abnormal and early treatment.