Department of Thoracic Surgery, Cho Ray Hospital, Ho Chi Minh City, Vietnam.
J Cardiothorac Surg. 2023 Jul 12;18(1):229. doi: 10.1186/s13019-023-02321-2.
The present descriptive study shares the overall experience of treating all these patients where different surgical process was adopted depending on the treatment required after carefully evaluating the risk factors and comorbidities.
The present study was conducted at the Department of Thoracic Surgery, Choray Hospital, Vietnam between the period of 2010 to 2020. We have treated 95 patients altogether in this duration.
We were able to save most of the patients by applying thoracotomy and thoracic irrigation for most of the patients based on the observed indications that were identified immediately after the compulsory standard cervicotomy. The indication for thoracic interference was considered when the infection was deeply spread into the mediastinum and cannot get out through cervicotomy, although the most effective method of drainage was applied.
Our statistical investigation of the patient data suggested the possible association and influence of comorbidity such as diabetes. Therefore, we recommend that in specific cases thoracotomy along with thoracic irrigation and repetitive surgical draining could be a better option to reduce the infection and the mortality rate.
Retrospectively registered.
本描述性研究分享了治疗所有这些患者的总体经验，根据风险因素和合并症仔细评估后，采用了不同的手术过程。
本研究于 2010 年至 2020 年在越南 Choray 医院胸外科进行。在此期间，我们总共治疗了 95 名患者。
我们通过对大多数患者进行开胸手术和胸腔冲洗，挽救了大多数患者，这是根据强制性标准颈切开术后立即确定的观察到的指征。当感染深度扩散到纵隔且无法通过颈切开术排出时，考虑进行胸腔干预，尽管已经应用了最有效的引流方法。
我们对患者数据的统计调查表明，合并症如糖尿病可能存在关联和影响。因此，我们建议在特定情况下，开胸手术联合胸腔冲洗和反复手术引流可能是降低感染率和死亡率的更好选择。
回顾性注册。
