1例颈深部脓肿术后大出血合并下肢动脉栓塞患者的护理体会  

Nursing management of a patient with postoperative massive hemorrhage from deep neck abscess complicated by lower limb arterial embolism

作　　者：王华[1] 李静[1] 厉东芝 WANG Hua;LI Jing;LI Dongzhi(Department of Otorhinolaryngology Head and Neck Surgery,People’s Hospital of Rizhao,Rizhao,Shandong,276826)

机构地区：[1]日照市人民医院耳鼻咽喉头颈外科,山东日照276826

出　　处：《中西医结合护理》2025年第3期140-144,共5页Chinese Journal of Integrative Nursing

摘　　要：本文回顾1例颈深部脓肿术后大出血并发左下肢动脉栓塞患者的治疗与护理经验。基于患者病情和护理评估,总结手术引流、抗感染治疗以及包括病情监测、健康宣教、血压管理和围手术期护理在内的多维度护理措施,并分析了疾病不同阶段影响治疗效果的关键因素。本病例护理要点:早期控制颈部感染是治疗的基础;需重点关注颈深部脓肿的并发症风险,尤其是老年患者及缺乏疾病知识者,应加强血栓预防及早期筛查,以减少并发症的发生;合并高血压等基础疾病的感染患者,应注重预防出血和血栓并发症,以提高治疗效果,改善预后。This article reviews the treatment and nursing care of a patient with post-surgical complications of deep neck abscesses(DNAs),including massive hemorrhage and left lower limb arterial embolism.Through surgical intervention,anti-infective therapy,and comprehensive nursing strategies—such as condition monitoring,health education,blood pressure management,and perioperative care—key factors influencing treatment outcomes at various disease stages were analyzed.The case highlights three essential insights:Early and effective control of cervical infections is crucial;Heightened attention is needed for complications of DNAs,particularly in elderly patients with limited health literacy,emphasizing the importance of thrombosis prevention and early detection;Infection patients with comorbidities like hypertension require proactive measures to prevent bleeding and thrombotic complications to achieve optimal outcomes.

关 键 词：颈深部脓肿 术后出血 高血压 下肢动脉栓塞 围手术期护理 健康宣教 

分 类 号：R473.6[医药卫生—护理学]