ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (6): 707-709.doi: 10.3761/j.issn.2096-7446.2026.06.012

• 急症护理研究 • 上一篇    下一篇

颈深部感染致纵隔脓肿患者的围手术期护理

庄佳妮1(), 李小珍1,*(), 史超强1, 王英2, 谭丽萍2   

  1. 1 苏州大学医学院附属第二医院重症医学科 苏州市 215000
    2 苏州大学医学院附属第二医院护理部 苏州市 215000
  • 收稿日期:2025-09-28 出版日期:2026-06-10 发布日期:2026-06-02
  • 通讯作者: 李小珍 E-mail:1103532189@qq.com;1874072611@qq.com
  • 作者简介:庄佳妮：女，本科（硕士在读），主管护师，E-mail：1103532189@qq.com
    第一联系人：

    庄佳妮：资料收集、文献检索、论文撰写及修改；李小珍：论文审阅及修改；史超强：资料收集；王英、谭丽萍：论文撰写指导

Perioperative nursing care for a patient with malignant mediastinal abscess secondary to deep neck infection

ZHUANG Jiani1(), LI Xiaozhen1,*(), SHI Chaoqiang1, WANG Ying2, TAN Liping2   

  1. 1 Critical Care Medicine， the Second Affiliated Hospital of Soochow University， Suzhou 215000， China
    2 Department of Nursing， the Second Affiliated Hospital of Soochow University， Suzhou 215000， China
  • Received:2025-09-28 Online:2026-06-10 Published:2026-06-02
  • Contact: LI Xiaozhen E-mail:1103532189@qq.com;1874072611@qq.com

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摘要：

总结1例颈深部感染合并糖尿病酮症酸中毒并进展为纵隔脓肿患者的护理体会。针对患者在超声内镜引导下行细针活检穿刺术的手术配合要求高、感染控制难度大、咽喉部功能障碍，以及严重负性情绪等问题，采取多学科协作团队制订手术全流程管理方案、多元化护理降低感染风险、优化血糖管控、实施过渡式营养护理，以及运用音乐治疗和情绪焦点疗法强化心理支持等措施，患者住院第26天康复出院。2 个月后随访，患者恢复良好，已回归社会。

关键词: 颈, 感染, 咽后脓肿, 纵隔, 糖尿病酮症酸中毒, 危重病护理

Abstract:

To summarize the nursing experience in managing a patient with deep neck infection complicated by diabetic ketoacidosis（DKA），which progressed to a malignant mediastinal abscess. Addressing challenges including high surgical coordination demands of endoscopic ultrasound-guided fine needle aspiration，significant difficulties in infection control，pharyngolaryngeal dysfunction，and severe negative emotions，a multidisciplinary team developed a comprehensive perioperative management plan. Interventions included a multidisciplinary approach to coordinate the entire surgical process，multifaceted nursing strategies to control infection risks，optimized glycemic management，transitional nutritional support，as well as music therapy and emotion-focused therapy to enhance psychological support. The patient was discharged successfully after 26 days. Follow-up at two months indicated favorable recovery and successful reintegration into society.

Key words: Neck, Infections, Retropharyngeal Abscess, Mediastinum, Diabetic Ketoacidosis, Critical Care Nursing