Librizzi D, Mazzola E, Maragliano S, Macaluso A, Matranga S, Di Miceli G
ARNAS Ospedale Civico, Palermo, U.O. di Chirurgia Toracica.
G Chir. 2008 Aug-Sep;29(8-9):347-50.
Descending necrotizing mediastinitis (DNM) is a primary complication of cervical or odontoiatric infections that can spread to the mediastinum through the anatomic cervical spaces. The delay of the diagnosis or under assessment of the disease, with no adequate draining techniques, results in high mortality up to 20%. We report our experience about 9 clinical cases of DNM observed and surgically treated in our unit from 2000 to 2006; five of these patients were admitted in the last two years. We stress the differences of management of this affection that needs a close cooperation between surgeon, intensive care unit and infectious disease specialist.
下行性坏死性纵隔炎（DNM）是颈部或牙源性感染的主要并发症，可通过颈部解剖间隙蔓延至纵隔。疾病诊断延迟或评估不足，且没有足够的引流技术，会导致高达20%的高死亡率。我们报告了2000年至2006年在我们科室观察并手术治疗的9例DNM临床病例的经验；其中5例患者是在过去两年入院的。我们强调了这种疾病管理的差异，这需要外科医生、重症监护病房和传染病专家之间密切合作。
