A 组链球菌致下行性坏死性纵隔炎：1 例报告并文献复习
Group A Streptococcus causing descending necrotizing mediastinitis: report of a case and literature review.
机构信息
Department of Surgery, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Québec, Canada.
出版信息
Surg Infect (Larchmt). 2012 Feb;13(1):57-9. doi: 10.1089/sur.2010.049. Epub 2012 Feb 8.
BACKGROUND
Descending necrotizing mediastinitis is a serious condition with few cases reported in the literature. Surgical treatment is controversial and may include wound exploration, local drainage, and even mediastinal debridement approached by thoracotomy.
METHODS
Description of a case of descending mediastinitis caused by group A Streptococcus as a complication of thyroidectomy.
RESULTS
Aggressive debridement was required for source control and treatment of septic shock.
CONCLUSION
Post-thyroidectomy descending necrotizing mediastinitis is a rare and dangerous infection. It should be treated aggressively with appropriate cervical and mediastinal drainage combined with optimum medical care.
背景
下行性坏死性纵隔炎是一种严重的疾病，文献报道的病例很少。手术治疗存在争议，可能包括伤口探查、局部引流，甚至通过开胸手术进行纵隔清创。
方法
描述了一例由 A 组链球菌引起的甲状腺切除术后下行性纵隔炎病例。
结果
为了控制感染源和治疗感染性休克，需要进行积极清创。
结论
甲状腺切除术后下行性坏死性纵隔炎是一种罕见且危险的感染。应通过适当的颈部和纵隔引流，并结合最佳的医疗护理，积极进行治疗。
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