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[路德维希咽峡炎继发纵隔炎。1例报告]

[Mediastinitis secondary to Ludwig's angina. One case report].

作者信息

Landa Aranzábal M, Navarro Sampedro J J, Fernández de Pinedo Sáez M, Algaba Guimerá J

机构信息

Servicio O.R.L. del Hospital de Aránzazu, San Sebastián.

出版信息

An Otorrinolaringol Ibero Am. 1995;22(6):565-72.

PMID:8579229
Abstract

Ludwig's angina is a cellulitis, usually of odontogenic origin, involving the submandibular space. The number of cases has been heavily lowered since the introduction of antibiotherapy. The treatment consists in an aggressive antibiotherapy and, sometimes, surgical drainage. Complications are: acute respiratory obstruction and spreading of the infection through the neck spaces till the mediastinum. We report one cas complicated with mediastinitis which diagnosis was based in radiological data, basically provided for TAC, The treatment required surgical drainage and antibiotherapy.

摘要

路德维希咽峡炎是一种蜂窝织炎,通常起源于牙源性,累及下颌下间隙。自从采用抗菌疗法以来,病例数量已大幅减少。治疗包括积极的抗菌疗法,有时还需要手术引流。并发症有:急性呼吸道梗阻以及感染通过颈部间隙扩散至纵隔。我们报告一例并发纵隔炎的病例,其诊断基于放射学数据,主要是通过CT提供的,治疗需要手术引流和抗菌疗法。

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