Kozak J, Markiewicz A, Kordiak J, Jabłoński S
I Kliniki Chirurgicznej Instytutu Chirurgii WAM, Lodzi.
Pneumonol Alergol Pol. 1996;64(5-6):283-8.
The aspects of acute purulent mediastinitis (APM) have been reported on the basis of the analysis of 14 cases treated in the last 5 years. The most frequent causes of APM were the complications after surgery on esophagus ad trachea (10 cases). The other group included patients operated on by sternotomy. Three patients survived. In both of them diagnosis was established within 12 hours from the beginning of APM and early re-thoracotomy was performed. The rest of the patients died because of sepsis and multiply organ failure (MOF). The conclusion is that only early diagnosis as well as aggressive surgical treatment give a chance to save life in such a dangerous severe complication.
基于对过去5年治疗的14例急性化脓性纵隔炎（APM）患者的分析，对该病的各个方面进行了报道。APM最常见的病因是食管和气管手术后的并发症（10例）。另一组包括接受胸骨切开术的患者。3例患者存活。这两名存活患者均在APM发病后12小时内确诊，并早期进行了再次开胸手术。其余患者死于败血症和多器官功能衰竭（MOF）。结论是，在这种危险的严重并发症中，只有早期诊断和积极的手术治疗才有机会挽救生命。
