成功的解脫瀕於窒息的危險：一位深頸部感染病人之照護經驗

Successfully Relieving Impeding Suffocation: A Case Study of Deep Neck Infection Patient

司麗雲(Li-Yun Szu) ； 曹麗英(Lee-Ing Tsao)

《新臺北護理期刊》 3卷2期 (2001/08) Pp. 125-132

https://doi.org/10.6540/NTJN.2001.2.011

摘要

本報告為一位糖尿病、高血壓、心臟病長期慢性之患者，因深頸部感染而壓迫呼吸道並一度危及生命。深頸部感染是一急性且迅速持續性的嚴重感染症，易造成窒息、敗血症等後遺症，致死率相當高。在耳鼻喉科的領域裡，深頸部感染可說是一大急症，對醫護人員更是一大挑戰。病患住院期間，筆者運用整體性評估及護理的獨立功能：身體評估、觀察、同感心等，發現個案有高危險性窒息、疼痛、營養少於身體需要、皮膚完整性受損及照顧者角色緊張之護理問題。並對深頸部感染之護理作建議，以提供日後照顧的參考。

關鍵字

上呼吸道阻塞 ； 深頸部感染 ； 高危險性窒息

並列摘要

This is a case study of an elder woman that suffered from deep neck infection. Deep neck infection is an acute, severe infectious disease. The disease may threaten life due to the complications of suffocation and sepsis. The woman had suffered from several chronic diseases such as DM, hypertension, hepatitis and arthritis for many years. Deep neck infection also resulted in impeding suffocation and threatened her life during the initial hospitalization. However, she was successfully relieved without complication. This study discussed the nursing diagnoses of high risk of suffocation, pain, nutrition less than that of body requirements, impaired integrity of skin and the strain on the caregiver and also suggested the nursing intervention and care for the future.

並列關鍵字

upper air way obstruction ； deep neck infection ； high risk suffocation