eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association

Chinese Journal of Emergency and Critical Care Nursing ›› 2026, Vol. 7 ›› Issue (6): 707-709.doi: 10.3761/j.issn.2096-7446.2026.06.012

• Emergency Care Research • Previous Articles     Next Articles

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 Medicinethe Second Affiliated Hospital of Soochow UniversitySuzhou 215000, China
    2 Department of Nursingthe Second Affiliated Hospital of Soochow UniversitySuzhou 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

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