继发于咽后脓肿且无颈部扩散的下行性坏死性纵隔炎。
Descending necrotizing mediastinitis secondary to retropharyngeal abscess without cervical spread.
作者信息
Endo Shunsuke, Tsubochi Hiroyoshi, Nakano Tomoyuki, Sohara Yasunori
机构信息
Department of General Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
出版信息
Gen Thorac Cardiovasc Surg. 2008 Jan;56(1):25-7. doi: 10.1007/s11748-007-0182-y. Epub 2008 Jan 22.
Cervical infections can cause neck phlegmonosa and occasionally develop lethal mediastinitis. We report a 52-year-old man with a retropharyngeal abscess causing descending mediastinis without cervical spread. Thoracoscopic drainage without cervicotomy was successful. Deep neck infections causing a descending mediastinitis should be considered in patients even without an abnormal neck appearance.
颈部感染可导致颈部蜂窝织炎，偶尔会发展为致死性纵隔炎。我们报告一例52岁男性，患有咽后脓肿，导致下行性纵隔炎但无颈部扩散。在未行颈部切开术的情况下，胸腔镜引流成功。即使患者颈部外观无异常，也应考虑深部颈部感染导致下行性纵隔炎的可能性。
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