eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution：China Association for Science and Technology
Sponsor：Chinese Nursing Association
中华急危重症护理杂志

Chinese Journal of Emergency and Critical Care Nursing >

2026 , Vol. 7 >Issue 6: 707 - 709

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.06.012

Emergency Care Research

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

  • ZHUANG Jiani ,
  • LI Xiaozhen ,
  • SHI Chaoqiang ,
  • WANG Ying ,
  • TAN Liping
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  • 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 date: 2025-09-28

  Online published: 2026-06-02

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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

Cite this article

ZHUANG Jiani , LI Xiaozhen , SHI Chaoqiang , WANG Ying , TAN Liping . Perioperative nursing care for a patient with malignant mediastinal abscess secondary to deep neck infection[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026 , 7(6) : 707 -709 . DOI: 10.3761/j.issn.2096-7446.2026.06.012

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