Lee T Y, Ko S F, Cheng Y F, Wang Y L, Chien W Y
Department of Diagnostic Radiology, Chang-Gung Memorial Hospital, Kaohsiung, Taiwan.
Am J Emerg Med. 1995 Jul;13(4):427-9. doi: 10.1016/0735-6757(95)90131-0.
A case of primary gas-containing mediastinal abscess is reported. Mediastinal widening was seen on the chest radiograph of a diabetic patient who presented with nonspecific symptoms of shortness of breath and abdominal pain of 3 days' duration. The diagnosis of primary gas-containing mediastinal abscess was established by the characteristic findings of computed tomography and exclusion of all the etiological possibilities. The patient was treated by closed chest tube drainage and antibiotic therapy with an uneventful outcome. Primary gas-containing mediastinal abscess should be included in the differential diagnosis when treating a diabetic patient with mediastinal widening.
报告了一例原发性含气纵隔脓肿病例。一名糖尿病患者出现持续3天的呼吸急促和腹痛等非特异性症状，胸部X线片显示纵隔增宽。通过计算机断层扫描的特征性表现并排除所有病因可能性后，确诊为原发性含气纵隔脓肿。患者接受了胸腔闭式引流和抗生素治疗，结果良好。在治疗纵隔增宽的糖尿病患者时，应将原发性含气纵隔脓肿纳入鉴别诊断。
