中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
16期
142-144
,共3页
李少云%安卫红%李宇轩%张会芝
李少雲%安衛紅%李宇軒%張會芝
리소운%안위홍%리우헌%장회지
颈深间隙%感染%纵隔脓肿%护理
頸深間隙%感染%縱隔膿腫%護理
경심간극%감염%종격농종%호리
Cervical fascial spaces%Infection%Mediastinal abscess%Nursing care
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。
報告1例重癥牙源性頸深間隙廣汎膿腫形成併髮縱隔膿腫、兩次手術排膿患者的護理經過。早期氣管切開,保證通氣功能,重視口腔護理及氣道管理;做好口底和頸部及胸部切開排膿術前的評估及準備、術後感染徵象的鑑測、創麵及引流管的管理;閤理安排抗生素輸入,保證穩定的血藥濃度;加彊對患者及傢屬的心理疏導。
보고1례중증아원성경심간극엄범농종형성병발종격농종、량차수술배농환자적호리경과。조기기관절개,보증통기공능,중시구강호리급기도관리;주호구저화경부급흉부절개배농술전적평고급준비、술후감염정상적감측、창면급인류관적관리;합리안배항생소수입,보증은정적혈약농도;가강대환자급가속적심리소도。
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.