急性苯胺中毒应急救援流程的精益化管理研究

Research on Lean Management of Emergency Rescue Procedures for Acute Aniline Poisoning

摘要: 急性苯胺中毒是工业生产中一种危重的职业性中毒事件，其病情进展迅猛，可导致高铁血红蛋白血症、溶血性贫血及多器官功能损伤，对患者生命构成严重威胁。高效的应急救援流程是改善预后的关键。传统应急模式常存在环节冗余、信息传递延迟、资源配置低效等问题。本研究旨在将精益化管理(Lean Management)理念引入急性苯胺中毒的应急救援流程中，通过理论探讨构建一个以价值流为核心、消除浪费、追求效率最大化的新型管理框架。文章系统分析急性苯胺中毒的病理生理学基础与临床救治要点，识别出现有流程中的非增值环节与时间陷阱，并从预检分诊、诊断与启动、多学科协作救治、院内转运与交接以及流程的持续改进机制五个维度，详细阐述精益化管理的实施路径与策略。

Abstract: Acute aniline poisoning is a critical occupational poisoning event in industrial production, with rapid progression that can lead to methemoglobinemia, hemolytic anemia, and multi-organ dysfunction, posing a serious threat to patients’ lives. An efficient emergency rescue process is key to improving prognosis. Traditional emergency response models often suffer from issues such as redundant steps, delayed information transmission, and inefficient resource allocation. This study aims to introduce the concept of Lean Management into the emergency rescue process for acute aniline poisoning, theoretically constructing a new management framework centered on value stream, eliminating waste, and maximizing efficiency. The article systematically analyzes the pathophysiological basis and clinical treatment key points of acute aniline poisoning, identifies non-value-added steps and time traps in the existing process, and elaborates on the implementation path and strategies of Lean Management from five dimensions: pre-examination and triage, diagnosis and initiation, multidisciplinary collaborative treatment, intra-hospital transfer and handover, and continuous improvement mechanism of the process.