Rotstein O D, Rhame F S, Molina E, Simmons R L
Can J Surg. 1986 Jan;29(1):54-6.
The authors describe a rare complication of whiplash injury. Diffuse mediastinitis resulted from extension of a whiplash-induced retropharyngeal abscess into the thorax. Early diagnosis of the cervical infection was masked by the simultaneous presence of infectious mononucleosis. Aggressive surgical management including bilateral thoracotomy was required to resolve the septic course. A review of the literature discusses the pathogenesis of this complication including the route of extension into the mediastinum and supports the use of aggressive surgical therapy to reduce the associated mortality.
作者描述了一种罕见的挥鞭伤并发症。弥漫性纵隔炎是由挥鞭伤引起的咽后脓肿延伸至胸腔所致。颈部感染的早期诊断因同时存在传染性单核细胞增多症而被掩盖。需要积极的手术治疗，包括双侧开胸手术，以解决感染病程。文献综述讨论了该并发症的发病机制，包括延伸至纵隔的途径，并支持采用积极的手术治疗以降低相关死亡率。
