致死性下行性坏死性纵隔炎
Fatal descending necrotising mediastinitis.
作者信息
Bulut M, Balci V, Akköse S, Armağan E
机构信息
Department of Emergency Medicine, Uludag University Medical School, Bursa, Turkey.
出版信息
Emerg Med J. 2004 Jan;21(1):122-3. doi: 10.1136/emj.2003.002865.
Descending necrotising mediastinitis rarely develops and this variety of mediastinitis is a highly lethal disease. A case is reported of descending necrotising mediastinitis caused by an odontogenic infection. The importance is emphasised of prompt diagnosis and aggressive surgical mediastinal drainage for the survival of these patients. Most acute mediastinal infections result from oesophageal perforation, either secondary to oesophagoscopy or tumour erosion. Mediastinitis occasionally develops as descending necrotising mediastinitis originating from the complications of cervical or odontogenic infections. Descending necrotising mediastinitis usually has a fulminant course, leading commonly to sepsis and death.
下行性坏死性纵隔炎很少发生，这种类型的纵隔炎是一种高致死性疾病。本文报告了1例由牙源性感染引起的下行性坏死性纵隔炎病例。强调了对于这些患者的生存而言，及时诊断和积极的手术纵隔引流的重要性。大多数急性纵隔感染是由食管穿孔引起的，继发于食管镜检查或肿瘤侵蚀。纵隔炎偶尔会发展为源自颈部或牙源性感染并发症的下行性坏死性纵隔炎。下行性坏死性纵隔炎通常病程凶险，常导致败血症和死亡。
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