邦克列酸中毒之護理

Nursing Care for Bongkrekic Acid Intoxication

2024年3月底台灣出現首起邦克列酸（Bongkrekic acid）中毒事件，造成6人死亡。邦克列酸中毒極為罕見，不易臨床診斷及檢驗。邦克列酸為無色且無味，其潛伏期為1～10小時。胃腸道症狀和嚴重肝功能損害是邦克列酸中毒的主要特點，主要症狀為噁心、嘔吐、腹瀉及全身無力等，嚴重可能出現少尿、黃疸、意識不清、休克，甚至死亡。本案例個案為一名外籍女性大學生，因至寶林茶室餐廳食用炒粿條後，發生邦克列酸中毒引發急性肝炎及腸胃炎，出現噁心及疲憊等症狀。因此，本篇文章介紹邦克列酸中毒事件、機轉及症狀、診斷治療及簡要的案例護理過程等，提供臨床護理人員了解此罕見臨床情況及照護參考。

At the end of March 2024, the first event of Bongkrekic acid intoxication occurred in Taiwan, resulting in six deaths. Bongkrekic acid intoxication is extremely rare and difficult to diagnose and test clinically. Bunkeric acid is colorless and odorless, and its incubation period is 1 to 10 hours. Gastrointestinal symptoms and severe liver function damage are the main features of Bongkrekic acid intoxication. The primary symptoms include nausea, vomiting, diarrhea, and general weakness. In severe cases, oliguria, jaundice, unconsciousness, shock, and even death may occur. The case involves a foreign female college student who developed Bongkrekic acid intoxication after consuming fried rice noodles at the Polam Kopitiam restaurant. This resulted in acute hepatitis and gastroenteritis, with symptoms of nausea and fatigue. Therefore, this article introduces the event of Bongkrekic acid intoxication, its mechanisms and symptoms, diagnosis and treatment, and a brief nursing care. It aims to provide clinical nursing staff with an understanding of this rare clinical condition and a reference for future care.