牙源性颈深间隙广泛感染并发纵隔脓肿患者的护理

Nursing care of patient with odontogenic deep neck space infections and secondary mediastinal abscess

报告1例重症牙源性颈深间隙广泛脓肿形成并发纵隔脓肿、两次手术排脓患者的护理经过。早期气管切开,保证通气功能,重视口腔护理及气道管理;做好口底和颈部及胸部切开排脓术前的评估及准备、术后感染征象的监测、创面及引流管的管理;合理安排抗生素输入,保证稳定的血药浓度;加强对患者及家属的心理疏导。

A report of one case of severe dental deep neck space abscess complicated with extensive mediastinal ab- scess, after operation and nursing discharge. Early tracheotomy, ensure the ventilation function, paying attention to o- ral care and twice airway management; assessment and preparation to the floor of the mouth, neck and chest incision drainage of pus preoperative, monitoring signs of postoperative infection, wound and drainage management; reasonable arrangements for antibiotic input, ensure the stable blood drug level; strengthen psychological counseling for patients and family members.