Sato K, Sato Y, Yoshiya K, Togashi K, Miyamura H, Iguchi M, Saeki T
Division of Thoracic and Cardiovascular Surgery, Nagaoka Red Cross Hospital, Niigata, Japan.
Kyobu Geka. 1999 Feb;52(2):97-101.
Descending necrotizing mediastinitis (DNM) is relatively rare inflammatory lesion with high mortality unless an appropriate surgical treatment is undertaken. Recently we successfully treated two surgical cases of DNM. In both cases, the disease started with pharyngeal abscess, and the mediastinal swelling followed. The surgery consisted with neck drainage and the mediastinal drainage through thoracotomy at the same time. A continuous mediastinal irrigation was performed postoperatively, and both patients recovered well. Immediate drainage of the primary lesion and the mediastinum is important once the diagnosis of DNM is established.
下行性坏死性纵隔炎（DNM）是一种相对罕见的炎症性病变，除非采取适当的手术治疗，否则死亡率很高。最近我们成功治疗了两例DNM手术病例。在这两个病例中，疾病均始于咽脓肿，随后出现纵隔肿胀。手术包括颈部引流和同时通过开胸进行纵隔引流。术后进行持续纵隔冲洗，两名患者均恢复良好。一旦确诊为DNM，立即引流原发性病变和纵隔很重要。
