[降颈段纵隔炎：15例报告]
[Descending cervical mediastinitis: report of 15 cases].
作者信息
Du X, Chen W, Chen J
机构信息
Department of Otorhinolaryngology, First Affiliated Hospital, Wenzhou Medical College, Zhejiang 325000, China.
出版信息
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2000 Apr;35(2):141-3.
OBJECTIVE
To analyze the cause, diagnosis and treatment of descending cervical mediastinitis.
METHODS
Fifteen cases of descending cervical mediastinitis, which were treated from January 1985 to December 1997, were retrospectively reviewed. There were 10 males and 5 females, ranging in age from 2.5 to 82 years.
RESULTS
The cause of descending cervical mediastinitis included odontogenic infection, suppurative tonsillitis, suppurative otitis media (cholesteatoma) complicating Mouret abscess, pharyngeal injury by foreign body and esophageal perforation. Different ways of drainage were adopted. Twelve cases were cured and three died.
CONCLUSION
The key to successful management of descending cervical mediastinitis is early recognition, prompt and effective surgical drainage and appropriate antibiotics.
目的
分析下行性颈纵隔炎的病因、诊断及治疗方法。
方法
回顾性分析1985年1月至1997年12月间收治的15例下行性颈纵隔炎患者。其中男性10例，女性5例，年龄2.5岁至82岁。
结果
下行性颈纵隔炎的病因包括牙源性感染、化脓性扁桃体炎、化脓性中耳炎（胆脂瘤型）并发莫雷氏脓肿、咽部异物损伤及食管穿孔。采用了不同的引流方式。12例治愈，3例死亡。
结论
成功治疗下行性颈纵隔炎的关键在于早期识别、及时有效的手术引流及合理使用抗生素。
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